Healthcare Provider Details

I. General information

NPI: 1205967205
Provider Name (Legal Business Name): COMMUNITY OPTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 S. WALNUT
CHELSEA OK
74016
US

IV. Provider business mailing address

PO BOX 85
CHELSEA OK
74016-0085
US

V. Phone/Fax

Practice location:
  • Phone: 918-789-5900
  • Fax: 918-789-5916
Mailing address:
  • Phone: 918-789-5900
  • Fax: 918-789-5916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: GRACE A PETERSON
Title or Position: CFO
Credential:
Phone: 918-789-5900