| NPI | 1669247045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARETHA L BEAVERS Owner 405-915-2948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 251T00000X PACE Provider Organization | |
| 253Z00000X In Home Supportive Care | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2024-04-05 |