NPI 1083215867

Robert Frank Tipton, PARAPROFESSIONAL

Practitioner Assisted Living Facility (Mental Illness) Vinita, OK

Practice location

Address: 618 E Canadian Ave, Vinita, OK 74301-3810
Phone: (918) 256-3424
Mailing address: PO Box 148, Vinita, OK 74301-0148

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence RC1804-1804 (OK)

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Registry record

NPI: 1083215867
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2020
Record last updated: 6 Nov 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.