Whalio Doctors

NPI 1558461657

Phoenix Residential Services

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Sand Springs, OK

Practice location

Address
20 W 2nd St Suite 200, Sand Springs, OK 74063-7633
Phone
(918) 245-1884
Fax
(918) 245-0749

Authorised official

Name
Lisa T Toth
Title
Ceo/Owner
Phone
(918) 245-1884

Registered specialties (2)

Child Intellectual and/or Developmental Disabilities Respite Care Primary
Respite Care Facility Taxonomy 385HR2060X Licence 200045930 (OK)
Home Health Agency
Agencies Taxonomy 251E00000X Licence 7960 (OK)

Registry record

NPI
1558461657
Entity type
Organization
NPI issued
25 Sep 2006
Record last updated
1 Jun 2012

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.