Organization
DREAM TIDE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON DEON ARMSTRONG SR. (OWNER)
(918) 313-5996
Entity
Organization
Contact information
Practice address
530 S 120TH EAST AVE, TULSA, OK 74128-2241
(918) 313-5996
Mailing address
530 S 120TH EAST AVE, TULSA, OK 74128-2241
(918) 313-5996
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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