Organization
NOAH ARK REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA ANN DEBERRY (DIRECTOR)
(405) 549-9061
Entity
Organization
Contact information
Practice address
9233 NE 10TH ST, MIDWEST CITY, OK 73130-1317
(405) 549-9061
Mailing address
PO BOX 102, CHOCTAW, OK 73020-0102
(405) 549-9061
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
302R00000X
OK
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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