Healthcare Provider Details

I. General information

NPI: 1932322971
Provider Name (Legal Business Name): DELAWARE COUNTY FRIENDSHIP HOMES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 W CHEROKEE ST
JAY OK
74346-0720
US

IV. Provider business mailing address

PO BOX 720
JAY OK
74346-0720
US

V. Phone/Fax

Practice location:
  • Phone: 918-253-6032
  • Fax: 918-253-4818
Mailing address:
  • Phone: 918-253-6032
  • Fax: 918-253-4818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: CAROL R HAMBY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 918-253-6032