Oklahoma Family Neighbor Provider Corporation

NPI #1295825321 in Boley, Oklahoma

Provider Information

NPI Number: 1295825321
Entity Type: Organization
Organization Name: Oklahoma Family Neighbor Provider Corporation
Primary Specialty: Clinic/Center
Enumeration Date: Oct 12, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 114 SOUTH PECAN ST.
City: Boley
State: Oklahoma
ZIP Code: 74829
Phone: (918) 667-3352

Authorized Official

Name: MS. COLLEEN L. SMITH, R.N.,M.S.W.
Title: EXECUTIVE DIRECTOR
Phone: (918) 667-3352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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