Organization · NPI-2

Gold Team LLC

Day Training, Developmentally Disabled Services · Oklahoma City, OK

NPI number1124848205
StatusActive
Last updated in NPPESOct 14, 2024

Details

NPI
1124848205
Entity type
Organization (NPI-2)
Legal business name
Gold Team LLC
Organization subpart
No
Enumeration date
Oct 14, 2024
Certification date
Oct 14, 2024
Last updated
Oct 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes
373H00000X Day Training/Habilitation Specialist––

Practice location

9210 S Western Ave Ste A21
Oklahoma City, OK 73139-4982

Phone 678-777-8038

Mailing address

9210 S Western Ave Ste A21
Oklahoma City, OK 73139-4982

Authorized official

Stanley Nzuonkwelle
Ceo
6787778038

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