NPI 1568504553

Providence Service Corporation of Oklahoma

Organisation Case Management Agency Durant, OK

Practice location

Address: 134 N 12th Ave, Durant, OK 74701-4718
Phone: (580) 924-6363
Fax: (580) 924-0379
Mailing address: 620 N Craycroft Rd, Tucson, AZ 85711-1448

Authorised official

Name: Breeann Hoerning
Title: Ar Billing Manager
Phone: (520) 747-6694

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1568504553
Entity type: Organization
NPI issued: 13 Feb 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.