OrganizationActive
Roosevelt Family Care & Learning Center
NPI 1316708373 · Developmentally Disabled Services Day Training Agency · Moore, OK
Provider details
- NPI number
- 1316708373
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Roosevelt Granderson, President(601) 331-4463
Specialties & taxonomies
Agencies
Practice location
1120 N Eastern Ave Ste 108
Moore, OK 73160-5856
Phone: (601) 331-4463
Approximate (ZIP-level) locationGet directions
Mailing address
1120 N Eastern Ave Ste 108
Moore, OK 73160-5856
Registry dates
- Enumerated
- 2024-01-17
- Last updated
- 2024-01-17
- Certified
- 2024-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.