| Diversified Family Services Inc | |
|
1021 E Hwy 66 Elk City OK 73644 | |
| (580) 225-4337 | |
| (580) 225-4338 |
| Full Name | Diversified Family Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1021 E Hwy 66, Elk City, Oklahoma |
| Authorized Official Name and Position | Charles Everett Parkhurst (OWNER OPERATOR) |
| Authorized Official Contact | 5802254337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Family Services Inc Po Box 2438 Elk City OK 73648 Ph: (580) 225-4337 | Diversified Family Services Inc 1021 E Hwy 66 Elk City OK 73644 Ph: (580) 225-4337 |
| NPI Number | 1720152614 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720152614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oklahoma) | Primary |
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