Organization
PETERS AGENCY CARE MANAGEMENT LLC
Active
Parent organization
PETERS AGENCY CARE MANAGEMENT
Other names
Peters Agency Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PETERS AGENCY CARE MANAGEMENT
Authorized official
MRS. TIFFANY GAYLE PHILPOT BS, CCM, LHCA (MANAGING OFFICER)
(918) 775-0250
Entity
Organization
Contact information
Practice address
926 E. CHEROKEE, SALLISAW, OK 74955
(918) 775-6555
(918) 775-6587
Mailing address
P.O. BOX 886, 926 E. CHEROKEE, SALLISAW, OK 74955
(918) 775-6555
(918) 775-6587
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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