Organization
HEALTHCARE DINING SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA L PORTER MS, CCC-SLP (PRESIDENT/CEO)
(918) 913-9109
Entity
Organization
Contact information
Practice address
201 E 5TH ST, SUITE C, OKMULGEE, OK 74447-4000
(918) 913-9109
(918) 913-9112
Mailing address
928 N YORK ST, SUITE 20, MUSKOGEE, OK 74403-3123
(918) 913-9109
(918) 913-9112
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
133V00000X
Registered Dietitian
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200398450A
—
OK
Enumeration date
01/24/2013
Last updated
01/24/2013
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