Latonia R Moore-Galberth, CM

Individual provider Active NPI Case Manager/Care Coordinator · Del City, OK

NPI 1316720337 · NPPES record last updated Aug 15, 2023

Key facts

NPI
1316720337
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
5505 Main St Ste 102
Del City, OK 73115-5508
Phone
(405) 606-6595
Fax
(105) 609-6575
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

5505 Main St Ste 102
Del City, OK 73115-5508

Mailing address

4724 Gina PL
Del City, OK 73115-3924
Phone (405) 301-3475

Other providers in Del City, OK

All providers in Del City, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.