Organization
WASHINGTON COUNTY ELDER CARE, INC
Active
Other names
Elder Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL A DAVIS (CREDENTIALING REP)
(918) 336-8500
Entity
Organization
Contact information
Practice address
1223 SWAN DR, BARTLESVILLE, OK 74006-5037
(918) 336-8500
(918) 336-8519
Mailing address
1223 SWAN DR, BARTLESVILLE, OK 74006-5037
(918) 336-8500
(918) 336-8519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
12820
OK
225100000X
Physical Therapist
—
—
251B00000X
Case Management Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100683100A
—
OK
05
—
100683100B
—
OK
05
—
100683100C
—
OK
Enumeration date
06/26/2006
Last updated
12/09/2016
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