Indian Territory Long Term Care, Inc.
NPI #1457481426 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1457481426
- Entity Type
- Organization
- Organization Name
- Indian Territory Long Term Care, Inc.
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Nov 20, 2008
Practice Location
- Address
- 105 N NESHOBA ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-1739
- Phone
- (580) 371-0015
Authorized Official
- Name
- MR. JAYSON EARL NORTHCUTT
- Title
- CHIEF OPERATIONS OFFICER
- Phone
- (580) 371-2106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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