Organization
LAND OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN THORNTON (EXECUTIVE OFFICER)
(405) 567-0054
Entity
Organization
Contact information
Practice address
57523 MOCCASIN TRAIL ROAD, PRAGUE, OK 74864
(405) 567-0054
Mailing address
57523 MOCCASIN TRAIL ROAD, PRAGUE, OK 74864
(405) 567-0054
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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