| NPI | 1245568070 |
|---|---|
| Doing Business As | PETERS AGENCY PROVIDER SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | TRUDY A PETERS CEO 918-775-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: OK 7891) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: OK 7891) |
| 376J00000X Homemaker (Licence: OK 7891) | |
| 3747P1801X Technician Personal Care Attendant (Licence: OK 7891) | |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2010-06-10 |