Green Acres Residential Care Home

LBN: Helen Farris
Green Acres Residential Care Home is an health care organization with primary practice located at 17963 S 543 Road , Tahlequah OK 74464. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Helen Farris can be contacted via phone (918) 456-8677, or through Farris, Helen via phone (918) 456-0704.

Contact Information

Primary practice address
17963 S 543 Road Tahlequah OK 74464
Phone: (918) 456-8677
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farris, Helen
Phone: (918) 456-0704

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X RC-1101-1101 Oklahoma

Profile Details

NPI number 1134250731
LBN Legal business name Helen Farris
DBA Doing business as Green Acres Residential Care Home
Authorized official Farris, Helen
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 29th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134250731 NPPES
Oklahoma Other RC-1101-1101 STATE LICENSE

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