Organization
HAV -TAP, INC.
Active
Other names
The Harbor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L. TACKETT (PRESIDENT)
(405) 306-3395
Entity
Organization
Contact information
Practice address
4100 NEWPORT AVE, OKLAHOMA CITY, OK 73112-6334
(405) 943-4122
(405) 947-8262
Mailing address
4100 NEWPORT AVE, OKLAHOMA CITY, OK 73112-6334
(405) 943-4122
(405) 947-8262
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC5521
OK
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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