Lake Francis Residential Care Home, LLC

Organization Active NPI Assisted Living Facility (Mental Illness) · Welling, OK

NPI 1992835888 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992835888
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility (Mental Illness) 3104A0625X
License
RC 0101-0101 (OK)
Legal business name
LAKE FRANCIS RESIDENTIAL CARE HOME, LLC
Practice address
27753 S Welling Rd
Welling, OK 74471-2202
Phone
(918) 422-9907
NPI assigned
Mar 7, 2007
Organization subpart
No

Authorized official

Name
Marsena McIntosh
Title
Administrator
Phone
(918) 457-5535

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lake Francis Residential Care Home LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X RC 0101-0101 OK Yes

Addresses

Primary practice location

27753 S Welling Rd
Welling, OK 74471-2202

Mailing address

27753 S Welling Rd
Welling, OK 74471-2202
Phone (918) 457-5535

Other identifiers

IdentifierTypeStateIssuer
RC 0101-0101OtherOKSTATE LICENSE

Other providers in Welling, OK

All providers in Welling, OK · Assisted Living Facility (Mental Illness) in Oklahoma

Sources for this page

Verify at the official NPI Registry.