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Mrs. Alice Faye Eaglin, LPN
Private Vehicle in Big Cabin, Oklahoma
NPI 1578760203

Alice Faye Eaglin is a Private Vehicle based in Big Cabin, OK. Alice Faye Eaglin practices in Big Cabin, OK and has the professional credentials of LPN. The NPI Number for Alice Faye Eaglin is 1578760203 and holds a License No. (Oklahoma).

The current practice location address for Alice Faye Eaglin is 31850 So 4320 Rd, Big Cabin, OK and can be reached out via phone at 918-693-5209.

Location: 31850 So 4320 Rd, Big Cabin, OK, 74332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578760203
Provider Name
Alice Faye Eaglin
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
31850 So 4320 Rd, Big Cabin, OK, 74332
Phone Number
918-693-5209
Fax Number
Provider Enumeration Date
06/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31850 So 4320 Rd
City
Big Cabin
State
Oklahoma
Zip
74332
Phone Number
918-693-5209
Fax Number
person
Provider Business Mailing Address Details
Address
31850 So 4320 Rd
City
Big Cabin
State
Oklahoma
Zip
74332
Phone Number
918-693-5209
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(Oklahoma)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
(Oklahoma)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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