Organization
PETERS AGENCY CARE MANAGEMENT LLC
Active
Other names
Peters Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRUDY ALES PETERS RN CCM (CO-OWNER & CEO)
(918) 775-6555
Entity
Organization
Contact information
Practice address
926 E CHEROKEE AVE, SALLISAW, OK 74955-5045
(918) 775-6555
(918) 775-6587
Mailing address
926 E CHEROKEE AVE, SALLISAW, OK 74955-5045
(918) 775-6555
(918) 775-6587
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
100685560A
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100685560A
—
OK
Enumeration date
02/28/2007
Last updated
06/14/2012
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