Providence Service Corporation
Providence Service Corporation is a Public Health or Welfare Agency in Lawton, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.
- Licensed in
- OK
- In the registry since
- 2006
Practice location Address checks out
4645 W Gore Blvd Ste 5Lawton, OK 73505-6041
Phone: (580) 355-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health or Welfare Agency (primary) | Taxonomy 251K00000X · Licence 2560 (OK) |
|---|
Record details
| NPI number | 1821003658 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Aglaia Martin — Therapist · (580) 355-6800 |
| NPI enumerated | July 30, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4645 W Gore Blvd, Suite 5, Lawton, OK 73505-6041 |
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