NPI 1982029476

Shadow Nursing

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Oklahoma City, OK

Practice location

Address: 2501 N Western Ave, Oklahoma City, OK 73106-5637
Phone: (405) 824-1378
Fax: (405) 601-7823

Authorised official

Name: Monica Alaine Tucker
Title: Administrator/Owner
Phone: (405) 824-1378

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X

Other Respite Care providers in Oklahoma →

Registry record

NPI: 1982029476
Entity type: Organization
NPI issued: 20 Feb 2014
Record last updated: 20 Feb 2014

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.