Organization
HIS ARMS EXTENDED
Active
Other names
His Arms Extended
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL DENISE KITE REVEREND (REVEREND)
(405) 505-8329
Entity
Organization
Contact information
Practice address
2358 COUNTY ROAD 1325, BLANCHARD, OK 73010-3522
(405) 505-8329
Mailing address
2358 COUNTY ROAD 1325, BLANCHARD, OK 73010-3522
(405) 505-8329
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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