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Organization

GENERATIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARL A PHILLIPS COTA/L (ADMIN / CEO)
(405) 609-7566
Entity
Organization

Contact information

Practice address
3500 S BOULEVARD, STE C-10, EDMOND, OK 73013
(405) 651-8462
(405) 340-0383
Mailing address
3500 S BOULEVARD, STE C-10, EDMOND, OK 73013
(405) 651-8462
(405) 340-0383

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary

Other

Enumeration date
07/14/2022
Last updated
07/22/2022
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