REDWOOD PLACE LIVING CENTER is an intermediate care facility mentally retarded in Wetumka, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. REDWOOD PLACE LIVING CENTER NPI is 1912092602. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Adkins, Lp Dba Redwood Place.
The provider's business location address is:
623 S ALABAMA ST
WETUMKA, OK
ZIP 74883-034
Phone: (405) 452-3271
Fax: (405) 452-5154
The provider's authorized official is Donna R Simmons .
The authorized official title is Office Manager and has the following contact phone number (405) 786-2266.
The CLIA number assigned to this NPI record is 37D1035874 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/22/2020.