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Organization

KI BOIS COMMUNITY ACTION FOUNDATION

Active
Other names
The Oaks Rehabilitative Services Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. R. CARROLL HUGGINS (EXECUTIVE DIRECTOR/CEO)
(918) 967-3325
Entity
Organization

Contact information

Practice address
628 E CREEK AVE, MCALESTER, OK 74501-6930
(918) 421-3500
(918) 423-2370
Mailing address
628 E CREEK AVE, P.O. BOX 1404, MCALESTER, OK 74501-6930
(918) 421-3500
(918) 423-2370

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01-1372703
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100680370U
OK
05
100707530A
OK
Enumeration date
12/13/2006
Last updated
11/21/2013
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