Organization
ALTRIA HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAINA LAREE JOHNSON (OWNER)
(405) 601-8337
Entity
Organization
Contact information
Practice address
2512 SW 86TH ST, OKLAHOMA CITY, OK 73159-5740
(405) 601-8337
(405) 601-8337
Mailing address
2512 SW 86TH ST, OKLAHOMA CITY, OK 73159-5740
(405) 601-8337
(405) 601-8337
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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