Organization
ENGAGE LIFE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI HATLEY (OPERATIONS DIRECTOR)
(918) 299-2225
Entity
Organization
Contact information
Practice address
300 RIVERWALK TER, SUITE 260, JENKS, OK 74037-5602
(918) 299-2225
(888) 420-6673
Mailing address
300 RIVERWALK TER, SUITE 260, JENKS, OK 74037-5602
(918) 299-2225
(888) 420-6673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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