Organization
GOOD SAMARITAN FOSTER CARE LLC
Active
Other names
Good Samaritan Foster Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARUN JOSHUA MATHEW LMSW, LCSW (CLINICAL DIRECTOR)
(405) 212-7466
Entity
Organization
Contact information
Practice address
545 W STROTHERS AVE, SEMINOLE, OK 74868-3126
(405) 382-2434
(405) 382-2406
Mailing address
545 W STROTHERS AVE, SEMINOLE, OK 74868-3126
(405) 382-2434
(405) 382-2406
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
K860051482
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200517220 A
—
OK
Enumeration date
10/17/2013
Last updated
12/23/2013
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