Indian Territory Long Term Care, Inc.

NPI #1700916566 in Tishomingo, Oklahoma

Provider Information

NPI Number: 1700916566
Entity Type: Organization
Organization Name: Indian Territory Long Term Care, Inc.
Primary Specialty: Case Management
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: MRS. RHONDA JEAN HENDRIX, MSNARNPC
Title: C.E.O.
Phone: (580) 371-2106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X
Case Management	251B00000X	Primary

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