Organization
INDEPENDENT NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE R OTOO RN (PRESIDENT)
(405) 301-6806
Entity
Organization
Contact information
Practice address
2113 NE 2ND ST, MOORE, OK 73160-8155
(405) 301-6806
Mailing address
2113 NE 2ND ST, MOORE, OK 73160-8155
(405) 301-6806
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/17/2014
Last updated
05/17/2014
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