Organization
PS&A CASE MANAGEMENT & PROVIDER AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE D. SIMPKINS MHR / MRC (CEO / EXECUTIVE DIRECTOR)
(918) 282-5363
Entity
Organization
Contact information
Practice address
4528 S SHERIDAN RD STE 113, TULSA, OK 74145-1101
(918) 282-5363
(918) 585-7152
Mailing address
4528 S SHERIDAN RD STE 113, TULSA, OK 74145-1140
(918) 282-5363
(918) 585-7152
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200242130A
APS/SOONER CARE
OK
05
—
200242130A
—
OK
Enumeration date
10/04/2010
Last updated
09/19/2012
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