Organization
GENUINE CARE REHABILITATION SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE EVAN BARLOW CP, LPO, FAAOP (PRESIDENT)
(405) 842-8505
Entity
Organization
Contact information
Practice address
7510 BROADWAY EXT, SUITE 204, OKLAHOMA CITY, OK 73116-9031
(405) 842-8505
(405) 842-8805
Mailing address
7510 BROADWAY EXT, SUITE 204, OKLAHOMA CITY, OK 73116-9031
(405) 842-8505
(405) 842-8805
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
42
OK
335E00000X
Prosthetic/Orthotic Supplier
42
OK
Other
Enumeration date
05/05/2010
Last updated
09/03/2010
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