# NOAH ARK REHABILITATION CENTER

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

## Provider details

- **NPI number:** 1487924106
- **Authorized official:** MRS. BARBARA ANN DEBERRY (DIRECTOR)
- **Authorized official phone:** (405) 549-9061

## Contact information

- **Practice address:** 9233 NE 10TH ST, MIDWEST CITY, OK 73130-1317
- **Practice address phone:** (405) 549-9061
- **Mailing address:** PO BOX 102, CHOCTAW, OK 73020-0102
- **Mailing address phone:** (405) 549-9061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 302R00000X | OK | Yes |

## Other

- **Enumeration date:** 01/11/2012
- **Last updated:** 01/11/2012
