Organization Name: | HEALING TOUCH FAMILY CLINIC, LLC |
NPI Number: | 1326439266 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIK DRENNEN (MEMBER) |
Mailing Address: | 117 N Broadway St Broken Bow |
State: | OK US |
Postal Code: | 747283933 |
Phone Number: | 5802364314 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2015 |
NPI Last Update Date: | 02/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |