Organization
TOTAL RESOURCE GROUP
Active
Other names
Covenant Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON CHRISTIE CASTEEL (EXECUTIVE DIRECTOR/MANAGING PARTNER)
(405) 810-4907
Entity
Organization
Contact information
Practice address
5500 N WESTERN AVE, SUITE 212-A, OKLAHOMA CITY, OK 73118-4019
(405) 810-4907
(405) 810-8682
Mailing address
5500 N WESTERN AVE, SUITE 212-A, OKLAHOMA CITY, OK 73118-4019
(405) 810-4907
(405) 810-8682
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7500
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7500
OKLAHOMA STATE DEPARTMENT OF HEALTH
OK
Enumeration date
07/09/2009
Last updated
07/09/2009
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