Organization
GOLD TEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY NZUONKWELLE (CEO)
(678) 777-8038
Entity
Organization
Contact information
Practice address
9210 S WESTERN AVE STE A21, OKLAHOMA CITY, OK 73139-4982
(678) 777-8038
Mailing address
9210 S WESTERN AVE STE A21, OKLAHOMA CITY, OK 73139-4982
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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