Peak Medical Oklahoma No. 12, Inc.

NPI #1851346142 in Henryetta, Oklahoma

Provider Information

NPI Number
1851346142
Entity Type
Organization
Organization Name
Peak Medical Oklahoma No. 12, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
SUNBRIDGE HEALTHCARE CORPORATION
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
May 24, 2006
Last Updated
Sep 28, 2009

Practice Location

Address
600 LAKE RD
ZIP Code
74437-5415
Phone
(918) 652-8101

Authorized Official

Name
WILLIAM A. MATHIES
Title
PRESIDENT DIRECTOR
Phone
(505) 821-3355

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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