NPI | 1710270418 |
---|---|
Other Name | DEON |
Entity Type | Organization |
Authorized Contact | DEANDRE LAJUAN RHODES Service Coordinator 918-850-2412 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: OK 61573931) |
Enumeration Date | 2011-05-27 |
Last Update Date | 2011-05-27 |