Organization
EAGLE'S WINGS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIS FELDER (DIRECTOR OF EAGLE'S WINGS)
(405) 840-1359
Entity
Organization
Contact information
Practice address
5700 N EVEREST AVE, OKLAHOMA CITY, OK 73111-6732
(405) 213-5952
Mailing address
5700 N EVEREST AVE, OKLAHOMA CITY, OK 73111-6732
(405) 213-5952
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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