| NPI | 1619089257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED EZELL Owner 918-687-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: OK 7254) |
| Additional Taxonomies | 251E00000X Home Health (Licence: OK 7254) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |