Organization
PEORIA TRIBE OF INDIANS OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN BARLOW (PROGRAM DEVELOPMENT SPECIALIST)
(918) 540-2535
Entity
Organization
Contact information
Practice address
118 S EIGHT TRIBES TRL, MIAMI, OK 74354-1002
(918) 540-2535
Mailing address
118 S EIGHT TRIBES TRL, MIAMI, OK 74354-1002
(918) 540-2535
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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