Cornelia Authorine Minnifield
Cornelia Authorine Minnifield is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Longs, South Carolina. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2024
Practice location Address checks out
360 Freemont RdLongs, SC 29568-8303
Phone: (405) 669-7170
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 11875 (OK) |
|---|
Record details
| NPI number | 1538918016 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2024 |
| Last updated in NPPES | May 16, 2024 |
| Certification date | May 16, 2024 |