# PRINCIPAL CARE COLLECTIVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194422378
- **Authorized official:** DEMI MITCHELL (OWNER)
- **Authorized official phone:** (475) 204-7417

## Contact information

- **Practice address:** 1000 W WILSHIRE BLVD STE 321, OKLAHOMA CITY, OK 73116-7031
- **Practice address phone:** (475) 204-7417
- **Mailing address:** 3057 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73116-3129
- **Mailing address phone:** (475) 204-7417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2023
- **Last updated:** 02/08/2023