ALICE FAYE EAGLIN

BIG CABIN, OK
NPI1578760203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Additional Taxonomies347C00000X Private Vehicle
Enumeration Date2007-06-27
Last Update Date2007-07-08
Business Address
MRS. ALICE FAYE EAGLIN LPN
31850 SO 4320 RD
BIG CABIN, OK 74332
Phone number: 918-693-5209
Mailing Address
MRS. ALICE FAYE EAGLIN LPN
31850 SO 4320 RD
BIG CABIN, OK 74332
Phone number: 918-693-5209