Organization
PARCWAY
Active
Other names
parcway
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHIKAODI E KEKE (CERTIFIED MEDICATION AIDE)
(405) 946-6932
Entity
Organization
Contact information
Practice address
6312 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-1463
(405) 946-6932
Mailing address
6312 N PORTLAND AVE, OKC, OK 73112
(405) 946-6932
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
37V665010707
OK
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
Update your record
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