Providence Service Corporation

NPI #1235271222 in Antlers, Oklahoma

Provider Information

NPI Number: 1235271222
Entity Type: Organization
Organization Name: Providence Service Corporation
Primary Specialty: Case Management
Enumeration Date: Feb 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 301 N HIGH ST
City: Antlers
State: Oklahoma
ZIP Code: 74523-2238
Phone: (580) 298-5779

Authorized Official

Name: BREEANN HOERNING
Title: AR BILLING MANAGER
Phone: (520) 747-6691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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