Organization
ANGELS PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MICHAEL MITCHELL (EXECUTIVE DIRECTO)
(918) 519-4575
Entity
Organization
Contact information
Practice address
3919 S. OSWEGO AVENUE, TULSA, OK 74135
(918) 519-4575
Mailing address
3919 S OSWEGO AVE, TULSA, OK 74135-2428
(918) 519-4575
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OK
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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