Organization
TICKLED PINK FOOT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER BENJAMIN GOINS (OWNER)
(918) 407-8742
Entity
Organization
Contact information
Practice address
1491 ASH HOLW, CATOOSA, OK 74015-2201
(918) 407-8742
(918) 739-5074
Mailing address
PO BOX 535, CATOOSA, OK 74015-0535
(918) 407-8742
(918) 739-5074
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
L0051752
OK
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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