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DUNCAN COMMUNITY RESIDENCE INC NPI 1215150537


NPI Information

NPI: 1215150537
Provider Name: DUNCAN COMMUNITY RESIDENCE, INC
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
1510 W MAIN ST
DUNCAN, OK
ZIP 73533
Phone: (580) 255-3926
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DUNCAN COMMUNITY RESIDENCE, INC is an assisted living and mental illness assisted living facility in Duncan, OK. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. DUNCAN COMMUNITY RESIDENCE, INC NPI is 1215150537. The provider is registered as an organization entity type.

The provider's business location address is:

1510 W MAIN ST
DUNCAN, OK
ZIP 73533-333
Phone: (580) 255-3926
Fax: (580) 255-8877

The provider's authorized official is Brian D Wolff .
The authorized official title is Administrator and has the following contact phone number (580) 255-3926.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 11/16/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessRC6901-6901OKLAHOMANo
23104A0625XAssisted Living FacilityAssisted Living, Mental IllnessRC6901-6901OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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