PROVIDENCE SERVICE CORPORATION OF OKLAHOMA

LAWTON, OK
NPI1699817692
Entity TypeOrganization
Authorized ContactBREEANN HOERNING
Ar Billing Manager
520-747-6694
Organization Subpart ?No
Primary Taxonomy251B00000X Case Management
Enumeration Date2007-02-13
Last Update Date2020-08-22
Business Address
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
4645 W GORE BLVD STE 5
LAWTON, OK 73505-5962
Phone number: 580-355-6800
Mailing Address
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
620 N CRAYCROFT RD
TUCSON, AZ 85711-1448
Phone number: 520-747-6694
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