1740308857 EVERGREEN OK COMPANION SUPPORT
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- EVERGREEN OK COMPANION SUPPORT
- Enumeration Date
- March 27, 2007
- Last Update
- August 22, 2020
- Authorized Official
- JOHN R TAYLOR
PRESIDENT
Phone: (318) 742-8440
Practice Location
- Address
- 7725 W BRITTON RD
OKLAHOMA CITY, OK 731321507 - Phone
- (405) 720-1192
- Fax
- (405) 720-1193
Mailing Address
- Address
- 2101 HIGHWAY 80
HAUGHTON, LA 710379488 - Phone
- (318) 742-8440
- Fax
- (318) 752-5448
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100645750G-G620 | 05 | OK | N/A |
Frequently Asked Questions
What is EVERGREEN OK COMPANION SUPPORT's NPI number?
EVERGREEN OK COMPANION SUPPORT's NPI number is 1740308857.
Which doctor has NPI number 1740308857?
The doctor with NPI number 1740308857 is EVERGREEN OK COMPANION SUPPORT.
What is EVERGREEN OK COMPANION SUPPORT's practice address?
EVERGREEN OK COMPANION SUPPORT's practice address is 7725 W BRITTON RD, OKLAHOMA CITY, OK, 731321507.
Which doctor practices at 7725 W BRITTON RD, OKLAHOMA CITY, OK, 731321507?
EVERGREEN OK COMPANION SUPPORT practices at 7725 W BRITTON RD, OKLAHOMA CITY, OK, 731321507.
What is EVERGREEN OK COMPANION SUPPORT's mailing address?
EVERGREEN OK COMPANION SUPPORT's mailing address is 2101 HIGHWAY 80, HAUGHTON, LA, 710379488.
What is EVERGREEN OK COMPANION SUPPORT's phone number?
EVERGREEN OK COMPANION SUPPORT's phone number is (405) 720-1192.
Who is (405) 720-1192?
(405) 720-1192 is the phone number for EVERGREEN OK COMPANION SUPPORT.
What is EVERGREEN OK COMPANION SUPPORT's specialty?
EVERGREEN OK COMPANION SUPPORT's specialty is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
What type of doctor is EVERGREEN OK COMPANION SUPPORT?
EVERGREEN OK COMPANION SUPPORT is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
Is EVERGREEN OK COMPANION SUPPORT a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, EVERGREEN OK COMPANION SUPPORT is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is EVERGREEN OK COMPANION SUPPORT still practicing?
Yes, EVERGREEN OK COMPANION SUPPORT is currently practicing.
Is EVERGREEN OK COMPANION SUPPORT accepting new patients?
EVERGREEN OK COMPANION SUPPORT may be accepting new patients. Please call their office at (405) 720-1192 to inquire about availability.
Is NPI 1740308857 still active?
Yes, NPI 1740308857 is currently active.
Where does EVERGREEN OK COMPANION SUPPORT practice?
EVERGREEN OK COMPANION SUPPORT practices in OKLAHOMA CITY, OK.