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Organization
PEORIA TRIBE OF INDIANS OF OKLAHOMA
Active
Organization
PEORIA TRIBE OF INDIANS OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN BARLOW (PROGRAM DEVELOPMENT SPECIALIST)
(918) 540-2535
Entity
Organization
Contact information
Practice address
118 S EIGHT TRIBES TRL, MIAMI, OK 74354-1002
(918) 540-2535
Mailing address
118 S EIGHT TRIBES TRL, MIAMI, OK 74354-1002
(918) 540-2535
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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