OrganizationActive
Canly Blessed Group Home LLC
NPI 1043197296 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Oklahoma City, OK
Provider details
- NPI number
- 1043197296
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lydia Achirindalle, Owner(405) 889-6273
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
26 Sw 104th St
Oklahoma City, OK 73139-9040
Phone: (405) 889-6273
Approximate (ZIP-level) locationGet directions
Mailing address
26 Sw 104th St
Oklahoma City, OK 73139-9040
Registry dates
- Enumerated
- 2025-08-19
- Last updated
- 2025-08-19
- Certified
- 2025-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.