Organization
SPECIALIZED FOSTER HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZOELLA KAY ROGERS (PROVIDER)
(918) 775-2628
Entity
Organization
Contact information
Practice address
RR 1 BOX 112A, SALLISAW, OK 74955-9737
(918) 775-2628
(918) 775-2628
Mailing address
RR 1 BOX 112A, SALLISAW, OK 74955-9737
(918) 775-2628
(918) 775-2628
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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