Central Oklahoma Family Medical Center

NPI #1952569808 in Konawa, Oklahoma

Provider Information

NPI Number: 1952569808
Entity Type: Organization
Organization Name: Central Oklahoma Family Medical Center
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: May 28, 2008
Last Updated: Jan 31, 2022

Practice Location

Address: 527 W 3RD ST
City: Konawa
State: Oklahoma
ZIP Code: 74849-1415
Phone: (580) 925-3286

Authorized Official

Name: MR. CASEY HAROLD ANSON
Title: EXECUTIVE DIRECTOR
Phone: (580) 925-3286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X	Primary

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