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Indian Territory Long Term Care, Inc.
Public Health or Welfare Agency in Tishomingo, Oklahoma
NPI 1457481426

Indian Territory Long Term Care, Inc. is a Public Health or Welfare Agency based in Tishomingo, OK. Indian Territory Long Term Care, Inc. practices in Tishomingo, OK. The NPI Number for Indian Territory Long Term Care, Inc. is 1457481426 and holds a License No. 100627980B (Oklahoma).

The current practice location address for Indian Territory Long Term Care, Inc. is 105 N Neshoba St, Tishomingo, OK and can be reached out via phone at 580-371-0015 and via fax at 580-371-3204.

Location: 105 N Neshoba St, Tishomingo, OK, 73460-1739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457481426
Provider Name
Indian Territory Long Term Care, Inc.
Credential
Provider Entity Type
Organization
Address
105 N Neshoba St, Tishomingo, OK, 73460-1739
Phone Number
580-371-0015
Fax Number
580-371-3204
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100627980B 05 OK
institution
Provider Business Practice Location Address Details
Address
105 N Neshoba St
City
Tishomingo
State
Oklahoma
Zip
73460-1739
Phone Number
580-371-0015
Fax Number
580-371-3204
person
Provider Business Mailing Address Details
Address
105 N Neshoba St
City
Tishomingo
State
Oklahoma
Zip
73460-1739
Phone Number
580-371-0015
Fax Number
580-371-3204
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
100627980B (Oklahoma)
Definition
Definition to come...
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