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Organization

FAMILY SHELTER OF SOUTHERN OKLAHOMA FOR VICTIMS OF DOMESTIC VIOLENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSIE L NANCE (EXECUTIVE DIRECTOR)
(580) 226-3750
Entity
Organization

Contact information

Practice address
117 B ST SW, ARDMORE, OK 73401-6401
(580) 226-3750
(580) 226-6470
Mailing address
PO BOX 1408, ARDMORE, OK 73402-1408
(580) 226-3750
(580) 226-6470

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
04/11/2007
Last updated
08/22/2020
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Product
  • Claims
  • Eligibility checks
  • EDI platform