Organization
SEQUELCARE OF OKLAHOMA, LLC
Active
Parent organization
SEQUELCARE OF OKLAHOMA, LLC
Other names
Camelot Community Services of Oklahoma, Camelot Community Services of OK
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUELCARE OF OKLAHOMA, LLC
Authorized official
DARLISSA DUNN (HUMAN RESOURCE MANAGER)
(580) 298-2830
Entity
Organization
Contact information
Practice address
6218 S LEWIS AVE STE 118, TULSA, OK 74136-1018
(539) 302-0361
(580) 298-6723
Mailing address
PO BOX 1030, ANTLERS, OK 74523-1030
(580) 298-2830
(580) 298-6723
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200946050A
—
OK
Enumeration date
08/26/2021
Last updated
08/26/2021
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