PENNINGTON CREEK LIFEHOUSE

Case Management

Active Organization
NPI: 1962799593

Practice Address

705 W MAIN ST
Tishomingo, OK 73460

Phone: (580) 371-3799

Specialties

Specialty Code Primary License
Case Management 251B00000X Yes -

Frequently Asked Questions

NPI 1962799593 is the National Provider Identifier for PENNINGTON CREEK LIFEHOUSE, a Case Management provider located in Tishomingo, OK. This NPI was enumerated on July 4, 2011.

Quick Facts

NPI
1962799593
Type
Organization
Enumerated
Jul 4, 2011
Last Updated
Jul 4, 2011

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