Healthcare Provider Details

I. General information

NPI: 1730287368
Provider Name (Legal Business Name): THE MEADOWS CENTER FOR OPPORTUNITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S KELLY AVE
EDMOND OK
73003-6081
US

IV. Provider business mailing address

1000 S KELLY AVE
EDMOND OK
73003-6081
US

V. Phone/Fax

Practice location:
  • Phone: 405-348-4470
  • Fax: 405-340-5395
Mailing address:
  • Phone: 405-348-4470
  • Fax: 405-340-5395

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: MR. JAMES D. HILL JR.
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 405-348-4470