Organization
ARDMORE INSTITUTE OF HEALTH
Active
Other names
Lifestyle Center of America
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BROWN (CFO)
(580) 993-2327
Entity
Organization
Contact information
Practice address
RR 1 BOX 4001, SULPHUR, OK 73086-9796
(580) 993-2327
(580) 993-3902
Mailing address
RR 1 BOX 4001, SULPHUR, OK 73086-9796
(580) 993-2327
(580) 993-3902
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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