Organization
FAMILY HEALTH SKILLED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI J BLACK (ADMINISTRATOR)
(580) 226-0543
Entity
Organization
Contact information
Practice address
1104 WALNUT DR, ARDMORE, OK 73401-2353
(580) 226-0543
(580) 226-2284
Mailing address
1104 WALNUT DR, ARDMORE, OK 73401-2353
(580) 226-0543
(580) 226-2284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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