Organization
CAREATC - GLIDEWELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BENDER (DIRECTOR, PRODUCT & DATA MANAGEMENT)
(918) 779-7475
Entity
Organization
Contact information
Practice address
2166 MICHELSON DR, IRVINE, CA 92612-1304
(949) 660-5654
(404) 494-7403
Mailing address
4500 S 129TH EAST AVE STE 191, TULSA, OK 74134-5891
(800) 993-8244
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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