Organization
EUFALUA LAKE FAMILY DEVELOPMENTALLY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY RANDLEMAN (CEO)
(918) 452-3335
Entity
Organization
Contact information
Practice address
RR 1 BOX 131C, EUFAULA, OK 74432-9223
(918) 323-5227
Mailing address
RR 1 BOX 131C, EUFAULA, OK 74432-9223
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
171M00000X
—
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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