Organization Name: | SOUTHEASTERN OKLAHOMA FAMILY SERVICES, INC. |
NPI Number: | 1255648580 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIRGINIA RAGAN (VP OPERATIONS) |
Mailing Address: | 39 East Foley Eufaula |
State: | OK US |
Postal Code: | 74432 |
Phone Number: | 9186184766 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2010 |
NPI Last Update Date: | 09/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |