Organization Name: | KI BOIS COMMUNITY ACTION FOUNDATION, INC. |
NPI Number: | 1457550329 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT CARROLL HUGGINS (EXECUTIVE DIRECTOR) |
Mailing Address: | 200 Se A Stigler |
State: | OK US |
Postal Code: | 744620727 |
Phone Number: | 9189673325 |
Fax Number: | 9189678660 |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 11/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |