Organization
PETERS AGENCY TRANSITION SERVICES LLC
Active
Parent organization
PETERS AGENCY CARE MANAGEMENT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PETERS AGENCY CARE MANAGEMENT LLC
Authorized official
MS. TRUDY A PETERS RN CCM CPUR (EXECUTIVE DIRECTOR, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100685560A
—
OK
Enumeration date
12/31/2009
Last updated
12/31/2009
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