Organization
S-Q RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGDALENE E QUAYE RN (PRESIDENT)
(918) 251-9800
Entity
Organization
Contact information
Practice address
2400 N HEMLOCK CIR, BROKEN ARROW, OK 74012-1171
(918) 251-9800
(918) 258-9229
Mailing address
2400 N HEMLOCK CIR, BROKEN ARROW, OK 74012-1171
(918) 251-9800
(918) 258-9229
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OK
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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