Edison Evolution LLC

NPI #1285389809 in Jenks, Oklahoma

Provider Information

NPI Number: 1285389809
Entity Type: Organization
Organization Name: Edison Evolution LLC
Primary Specialty: Case Management
Enumeration Date: Feb 14, 2022
Last Updated: Feb 14, 2022

Practice Location

Address: 100 S RIVERFRONT DR STE 400
City: Jenks
State: Oklahoma
ZIP Code: 74037-5660
Phone: (918) 808-1802

Authorized Official

Name: GLENN EDDLEMAN
Title: CFO
Phone: (918) 808-1802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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