Organization
FOUNDATION MEDICAL STAFFING
Active
Other names
CHG Health Care Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON GONZALEZ OT (TRAVELING OCCUPATIONAL THERAPIST)
(504) 481-9800
Entity
Organization
Contact information
Practice address
416 W 15TH ST, BUILDING 700, EDMOND, OK 73013-3747
(405) 285-2868
(405) 285-0367
Mailing address
416 W. 15TH BULIDING 700, EDMOND, OK 73013
(405) 285-2868
(405) 285-0367
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
56007952
LA
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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