| NPI | 1932845799 |
|---|---|
| Doing Business As | TRADITIONS HEALTH OF PONCA CITY |
| Entity Type | Organization |
| Authorized Contact | DAVID R KLEMENTZ President & CEO 979-704-6547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2023-09-22 |