OrganizationActive
Dungarvin Oklahoma LLC
NPI 1265507933 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Oklahoma City, OK
Provider details
- NPI number
- 1265507933
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Dungarvin Group, Inc.
- Organization subpart
- Yes
- Authorized official
- Lori Kress, Ceo(651) 699-0206
- License
- 100631340E (OK)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 100631340E (OK)
Residential Treatment Facilities
Practice location
9210 S Western Ave Ste A-22
Oklahoma City, OK 73139-4982
Phone: (405) 759-2611
Fax: (405) 759-2650
Approximate (ZIP-level) locationGet directions
Mailing address
1444 Northland Dr Ste 200
Mendota Heights, MN 55120-1032
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2023-04-27
- Certified
- 2023-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.