NPI 1811095235
Indian Territory Long Term Care, INC.
Practice location
- Address
- 105 N Neshoba St, Tishomingo, OK 73460-1739
- Phone
- (580) 371-0015
Authorised official
- Name
- Rhonda Gail Hendrix
- Title
- Owner
- Phone
- (580) 371-2106
Registered specialties (2)
Public Health or Welfare Agency
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1811095235
- Entity type
- Organization
- NPI issued
- 20 Sep 2006
- Record last updated
- 20 Nov 2008
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.