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
- City
- Tishomingo
- State
- Oklahoma
- 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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