Organization
HEALTHCARE DINING SOLUTIONS, INC
Active
Other names
Therapy Solutions Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA BOURNE MS, CCC-SLP (PRESIDENT CEO)
(918) 913-9109
Entity
Organization
Contact information
Practice address
1500 E DOWNING ST, STE 102, TAHLEQUAH, OK 74464-3234
(918) 913-9109
(918) 913-9112
Mailing address
928 N YORK ST, STE 20, MUSKOGEE, OK 74403-3123
(918) 913-9109
(918) 913-9112
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
133V00000X
Registered Dietitian
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200398450B
—
OK
Enumeration date
06/06/2014
Last updated
06/06/2014
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