Organization
SOCIAL SERVICES FOUNDATION OF SOUTHERN OKLAHOMA, INC.
Active
Other names
Southern Oklahoma Lifeline
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN PEAY (DIRECTOR)
(580) 421-2414
Entity
Organization
Contact information
Practice address
1710 N BROADWAY AVE, SUITE 2, ADA, OK 74820-1406
(580) 421-2414
(580) 332-1074
Mailing address
PO BOX 592, ADA, OK 74821-0592
(580) 421-2414
(580) 332-1074
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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