# SHELTERED WORK ACTIVITY PROGRAM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SWAP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356535637
- **Authorized official:** DR. EDWARD B BREEN PHD (CEO)
- **Authorized official phone:** (918) 683-8162

## Contact information

- **Practice address:** 210 E OKMULGEE ST, MUSKOGEE, OK 74403-5453
- **Practice address phone:** (918) 683-8162
- **Practice address fax:** (918) 687-5368
- **Mailing address:** 210 E OKMULGEE ST, MUSKOGEE, OK 74403-5453
- **Mailing address phone:** (918) 683-8162
- **Mailing address fax:** (918) 687-5368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372500000X | Chore Provider | — | NULL | Yes |
| 372500000X | Chore Provider | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2007
- **Last updated:** 08/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1002682680J | — | OK |