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 OFFICER/CEO)
(918) 967-3325
Entity
Organization
Contact information
Practice address
204 WALL ST, POTEAU, OK 74953-4400
(918) 647-3546
(918) 647-4003
Mailing address
PO BOX 727, STIGLER, OK 74462-0727
(918) 967-3325
(918) 967-8660
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
—
100680370S
—
OK
05
—
100707530C
—
OK
Enumeration date
12/14/2006
Last updated
11/21/2013
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