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Organization

EXCEL SPECIAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MYRA TRAYLOR (MANAGER)
(405) 769-1079
Entity
Organization

Contact information

Practice address
8901 NE 23RD ST, OKLAHOMA CITY, OK 73141-2245
(405) 769-1079
(405) 769-7919
Mailing address
8901 NE 23RD ST, OKLAHOMA CITY, OK 73141-2245
(405) 769-1079
(405) 769-7919

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200403940A
OK
Enumeration date
10/26/2012
Last updated
10/26/2012
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