| NPI | 1457481426 |
|---|---|
| Doing Business As | INDIAN TERRITORY PROVIDER CARE PLUS |
| Entity Type | Organization |
| Authorized Contact | JAYSON EARL NORTHCUTT Chief Operations Officer 580-371-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: OK 100627980b) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-11-20 |