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Organization

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Active
Organization subpart
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Provider details

NPI number
Authorized official
DENA POWERS ADAMS (OWNER)
(405) 590-6228
Entity
Organization

Contact information

Practice address
5708 N EVEREST AVE, OKLAHOMA CITY, OK 73111-6732
(405) 590-6228
Mailing address
5708 N EVEREST AVE, OKLAHOMA CITY, OK 73111-6732
(405) 590-6228

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary

Other

Enumeration date
02/20/2024
Last updated
02/20/2024
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