Peak Medical Oklahoma No 12, Inc
Peak Medical Oklahoma No 12, Inc is an Intellectual Disabilities Intermediate Care Facility in Henryetta, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.
- Licensed in
- OK
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
600 Lake RdHenryetta, OK 74437-5415
Phone: (918) 652-8101
Fax: (918) 652-8209
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence NH56055605 (OK) |
|---|
Record details
| NPI number | 1851346142 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Sunbridge Healthcare Corporation |
| Authorized official | William Mathies — President Director · (505) 821-3355 |
| Other names | Lake Drive Home |
| NPI enumerated | May 24, 2006 |
| Last updated in NPPES | September 28, 2009 |
| Mailing address | 101 Sun Ave Ne, Compliance Department, Albuquerque, NM 87109-4373 |
Other providers in Henryetta
-
Eidetik of Weleetka, LLC
1201 W Trudgeon St, Henryetta, OK 74437-4007 · (918) 650-9393
-
Eidetik of Weleetka, LLC
1201 W Trudgeon St, Henryetta, OK 74437-4007 · (918) 650-9393
-
Eidetik of Weleetka LLC
1201 W Trudgeon St, Henryetta, OK 74437-4007 · (918) 650-9393
-
Lake Drive Health Care LLC
600 Lake Rd, Henryetta, OK 74437-5415 · (918) 652-8101