Healthcare Provider Details

I. General information

NPI: 1932324639
Provider Name (Legal Business Name): GREAT PLAINS IMPROVEMENT FOUNDATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

#2 SE LEE BOULEVARD SUITE 200
LAWTON OK
73501-2469
US

IV. Provider business mailing address

PO BOX 926
LAWTON OK
73502-0926
US

V. Phone/Fax

Practice location:
  • Phone: 580-353-2364
  • Fax: 580-353-1952
Mailing address:
  • Phone: 580-353-2364
  • Fax: 580-353-1952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ODELL GUNTER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 580-353-2364