Organization
LOVE GROW LIVE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE M BURNSIDE (PROGRAM COORDINATOR)
(870) 415-9993
Entity
Organization
Contact information
Practice address
12000 N VIRGINIA AVE, OKLAHOMA CITY, OK 73120-7581
(405) 315-9790
Mailing address
12000 N VIRGINIA AVE, OKLAHOMA CITY, OK 73120-7581
(405) 315-9790
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us