Pennington Creek Lifehouse
Pennington Creek Lifehouse is a Case Management Agency in Tishomingo, Oklahoma. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
705 W Main StTishomingo, OK 73460-1734
Phone: (580) 371-3799
Fax: (580) 371-2056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X |
|---|
Record details
| NPI number | 1962799593 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jan Owens — Owner/ Therapist · (580) 371-3799 |
| NPI enumerated | July 4, 2011 |
| Last updated in NPPES | July 4, 2011 |
| Mailing address | 705 W Main St, Tishomingo, OK 73460-1734 |
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