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Organization
GENUINE CARE REHABILITATION SERVICE INC.
Active
Organization
GENUINE CARE REHABILITATION SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE EVAN BARLOW CP, LPO, FAAOP (PRESIDENT)
(405) 842-8505
Entity
Organization
Contact information
Practice address
7510 BROADWAY EXT, SUITE 204, OKLAHOMA CITY, OK 73116-9031
(405) 842-8505
(405) 842-8805
Mailing address
7510 BROADWAY EXT, SUITE 204, OKLAHOMA CITY, OK 73116-9031
(405) 842-8505
(405) 842-8805
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
42
OK
335E00000X
Prosthetic/Orthotic Supplier
42
OK
Other
Enumeration date
05/05/2010
Last updated
09/03/2010
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