MEDICARE: THERES NO PLACE LIKE HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311Z00000X	Custodial Care Facility

General Provider Information

NPI Number	:	1922863703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERES NO PLACE LIKE HOME

Provider Business Mailing Address
First Line	:	5708 N EVEREST AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73111-6732
Country	:	US
Telephone Number	:	405-590-6228
Fax Number	:

Provider Business Practice Location Address
First Line	:	5708 N EVEREST AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73111-6732
Country	:	US
Telephone Number	:	405-590-6228
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DENA POWERS ADAMS
Credential	:
Telephone Number	:	405-590-6228

Provider Enumeration Date	:	02/20/2024
Last Update Date	:	02/20/2024

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Directions to “THERES NO PLACE LIKE HOME ” Practice Location

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