NPI 1255547956
Premier Community Services
Practice location
- Address
- 4530 S Sheridan Rd Suite 103, Tulsa, OK 74145-1141
- Phone
- (918) 627-2668
Authorised official
- Name
- Tracy G Whyburn
- Title
- Business Manager
- Phone
- (919) 627-2668
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1255547956
- Entity type
- Organization
- NPI issued
- 16 May 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.