Rhoda Eola Holleman
Individual provider Active NPI Case Manager/Care Coordinator · Valliant, OK
NPI 1104487883 · NPPES record last updated Jun 24, 2019
Key facts
- NPI
- 1104487883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 300 N Dalton St
Valliant, OK 74764-8029 - Phone
- (580) 933-7031
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valliant House, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
300 N Dalton St
Valliant, OK 74764-8029
Mailing address
300 N Dalton St
Valliant, OK 74764-8029
Other providers in Valliant, OK
- Debborah Harp
- Desmond Ashlee Hatcher
- Stephanie Heffner
- Martha Hensley
- Hogan Medical Clinic LLC
- Sabrina Johnson
- Jo Ann Dupree Matlock
- McCurtain Memorial Medical Management, Inc.
- Ashlynn Danielle McNeal
- Emiley Ann Montgomery
All providers in Valliant, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.