| Homebased Services And Resources | |
|
904 Nw 4th St Stigler OK 74462-1652 | |
| (918) 967-8223 | |
| Not Available |
| Full Name | Homebased Services And Resources |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 904 Nw 4th St, Stigler, Oklahoma |
| Authorized Official Name and Position | Diana Kay Shores (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9186941999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homebased Services And Resources 904 Nw 4th St Stigler OK 74462-1652 Ph: (918) 967-8223 | Homebased Services And Resources 904 Nw 4th St Stigler OK 74462-1652 Ph: (918) 967-8223 |
| NPI Number | 1386079648 |
|---|---|
| Provider Enumeration Date | 09/05/2013 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386079648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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