Organization
REACH OUT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA JEAN FOWLER (CEO)
(405) 247-6189
Entity
Organization
Contact information
Practice address
RR 2 BOX 21, ANADARKO, OK 73005-9609
(405) 247-6189
Mailing address
PO BOX 38, ANADARKO, OK 73005-0038
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
100649140B
OK
372500000X
Chore Provider
100649140E
OK
372600000X
Adult Companion
100649140F
OK
373H00000X
Day Training/Habilitation Specialist
Primary
100649140A
OK
376J00000X
Homemaker
100649140C
OK
Other
Enumeration date
04/04/2007
Last updated
06/03/2008
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