SANTA FE CHEYENNE HOUSE is an intermediate care facility mentally retarded in Moore, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SANTA FE CHEYENNE HOUSE NPI is 1134302573. The provider is registered as an organization entity type.
The provider's business location address is:
1000B S SANTA FE AVE
MOORE, OK
ZIP 73160-469
Phone: (405) 793-1643
Fax: (405) 793-1675
The provider's authorized official is William Forrest White .
The authorized official title is Managing Member and has the following contact phone number (405) 634-8888.
The CLIA number assigned to this NPI record is 37D1074783 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/7/2007 and was last updated on 12/7/2007.