Indian Territory Health Services

NPI #1578771879 in Tishomingo, Oklahoma

Provider Information

NPI Number
1578771879
Entity Type
Organization
Organization Name
Indian Territory Health Services
Primary Specialty
Custodial Care Facility
Enumeration Date
May 18, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
105 N NESHOBA ST
ZIP Code
73460-1739
Phone
(580) 371-2468

Authorized Official

Name
MR. DENNIS LEE HENDRIX
Title
PRESIDENT
Phone
(580) 371-2468

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility

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