Organization
DAVID'S HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY WAYNE DAVID (C.F.O.)
(580) 873-2876
Entity
Organization
Contact information
Practice address
200 N. MAIN ST., FORT TOWSON, OK 74735-0116
(580) 873-2876
(580) 873-2841
Mailing address
200 N. MAIN ST., P.O. BOX 116, FORT TOWSON, OK 74735-0116
(580) 873-2876
(580) 873-2841
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7384
OK
Other
Enumeration date
12/14/2006
Last updated
01/03/2012
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