Rose Wellness Center Llc | |
3204 Nbu 1022 W Main St Prague OK 74864-4516 | |
(405) 567-1169 | |
Not Available |
Full Name | Rose Wellness Center Llc |
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Speciality | Clinic/center |
Location | 3204 Nbu, Prague, Oklahoma |
Authorized Official Name and Position | Miriam Sharon Rose (MANAGING MEMBER) |
Authorized Official Contact | 4055671169 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rose Wellness Center Llc 3204 Nbu 1022 W Main St Prague OK 74864-4516 Ph: (405) 567-1169 | Rose Wellness Center Llc 3204 Nbu 1022 W Main St Prague OK 74864-4516 Ph: (405) 567-1169 |
NPI Number | 1215266499 |
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Provider Enumeration Date | 12/16/2009 |
Last Update Date | 12/16/2009 |
Identifier | Type | State | Issuer |
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1215266499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |