Santa Fe Residential Care Home | |
618 E Canadian Ave Vinita OK 74301-3810 | |
(918) 244-9876 | |
Not Available |
Full Name | Santa Fe Residential Care Home |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 618 E Canadian Ave, Vinita, Oklahoma |
Authorized Official Name and Position | Vickie Jean Tipton (OWNER/OPERATOR) |
Authorized Official Contact | 9182449876 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Santa Fe Residential Care Home Po Box 148 Vinita OK 74301-0148 Ph: (918) 244-9876 | Santa Fe Residential Care Home 618 E Canadian Ave Vinita OK 74301-3810 Ph: (918) 244-9876 |
NPI Number | 1114351541 |
---|---|
Provider Enumeration Date | 08/21/2013 |
Last Update Date | 08/21/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114351541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
News Archive
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