| NPI | 1811095235 |
|---|---|
| Doing Business As | INDIAN TERRITORY PROVIDER CARE PLUS |
| Entity Type | Organization |
| Authorized Contact | RHONDA GAIL HENDRIX Owner 580-371-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: OK 100627980a) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: OK 100627980E) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-11-20 |