# INDEPENDENT NURSING

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

## Provider details

- **NPI number:** 1467863928
- **Authorized official:** JOSEPHINE R OTOO RN (PRESIDENT)
- **Authorized official phone:** (405) 301-6806

## Contact information

- **Practice address:** 2113 NE 2ND ST, MOORE, OK 73160-8155
- **Practice address phone:** (405) 301-6806
- **Mailing address:** 2113 NE 2ND ST, MOORE, OK 73160-8155
- **Mailing address phone:** (405) 301-6806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2014
- **Last updated:** 05/17/2014