| NPI | 1912116005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY R SHOEMAKER Credentialing Manager 405-425-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-08-12 |