| NPI | 1215652698 |
|---|---|
| Doing Business As | TRADITIONS HEALTH OF SE OKLAHOMA |
| Entity Type | Organization |
| Authorized Contact | JOHN KERNDL CFO & Secretary 979-704-6547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2024-06-21 |