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Organization

C.A.R.E FOR CHANGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN D MCPHERSON DR (CHIEF EXECUTIVE OFFICER)
(405) 514-0131
Entity
Organization

Contact information

Practice address
3621 N KELLEY AVE, SUITE 100, OKLAHOMA CITY, OK 73111-4520
(405) 514-0131
Mailing address
2609 FEATHERSTONE RD, APT 408, OKLAHOMA CITY, OK 73120-2105
(630) 886-9931

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
7
OK

Other

Enumeration date
01/17/2013
Last updated
07/21/2022
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