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Organization
PHOENIX RESIDENTIAL SERVICES
Active
Organization
PHOENIX RESIDENTIAL SERVICES
Active
Other names
Ellen Bee Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA T TOTH (CEO/OWNER)
(918) 245-1884
Entity
Organization
Contact information
Practice address
20 W 2ND ST, SUITE 200, SAND SPRINGS, OK 74063-7633
(918) 245-1884
(918) 245-0749
Mailing address
20 W 2ND ST, SUITE 200, SAND SPRINGS, OK 74063-7633
(918) 245-1884
(918) 245-0749
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
7960
OK
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
200045930
OK
Other
Enumeration date
09/25/2006
Last updated
06/01/2012
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