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Vada Arlene Mertens
Private Vehicle in Miami, Oklahoma
NPI 1609073725

Vada Arlene Mertens is a Private Vehicle based in Miami, OK. Vada Arlene Mertens practices in Miami, OK. The NPI Number for Vada Arlene Mertens is 1609073725 and holds a License No. 10064510A (Oklahoma).

The current practice location address for Vada Arlene Mertens is 407 16 Blvd Sw, Miami, OK and can be reached out via phone at 918-542-7710.

Location: 407 16 Blvd Sw, Miami, OK, 74354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609073725
Provider Name
Vada Arlene Mertens
Credential
Provider Entity Type
Individual
Gender
Female
Address
407 16 Blvd Sw, Miami, OK, 74354
Phone Number
918-542-7710
Fax Number
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
407 16 Blvd Sw
City
Miami
State
Oklahoma
Zip
74354
Phone Number
918-542-7710
Fax Number
person
Provider Business Mailing Address Details
Address
407 16 Blvd Sw
City
Miami
State
Oklahoma
Zip
74354
Phone Number
918-542-7710
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.
10064510A (Oklahoma)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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