Organization
MILLENNIUM COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE HAMIL (OWNER)
(405) 627-0276
Entity
Organization
Contact information
Practice address
308 VETERANS STREET, TALIHINA, OK 74571
(918) 567-3293
Mailing address
308 VETERANS STREET, TALIHINA, OK 74571
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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