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Organization
PRINCIPAL CARE COLLECTIVE
Active
Organization
PRINCIPAL CARE COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMI MITCHELL (OWNER)
(475) 204-7417
Entity
Organization
Contact information
Practice address
1000 W WILSHIRE BLVD STE 321, OKLAHOMA CITY, OK 73116-7031
(475) 204-7417
Mailing address
3057 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73116-3129
(475) 204-7417
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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