Organization · NPI-2

Altria Health Care INC

Case Management · Oklahoma City, OK

NPI number1457480592
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1457480592
Entity type
Organization (NPI-2)
Legal business name
Altria Health Care INC
Organization subpart
No
Enumeration date
Mar 5, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

2512 Sw 86th St
Oklahoma City, OK 73159-5740

Phone 405-601-8337 · Fax 405-601-8337

Mailing address

2512 Sw 86th St
Oklahoma City, OK 73159-5740

Phone 405-601-8337 · Fax 405-601-8337

Authorized official

Shaina Laree Johnson
Owner
4056018337

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