Sequelcare of Oklahoma, LLC

Organization Active NPI Case Management Agency · Broken Bow, OK

NPI 1720142532 · NPPES record last updated Dec 31, 2012

Key facts

NPI
1720142532
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
SEQUELCARE OF OKLAHOMA, LLC
Practice address
100 N Broadway St
Broken Bow, OK 74728-3934
Phone
(580) 584-3079
NPI assigned
Dec 19, 2006
Organization subpart
No

Authorized official

Name
Dorothy Metcalf, MSW, LCSW
Title
Exec Dir
Phone
(580) 298-2830

Corporate family (same tax ID) 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

National Provider Directory

Tax ID family
Sequelcare of Oklahoma LLC (36 organizations share this tax ID)

Locations

100 N Broadway St
Broken Bow, OK 74728
Phone (580) 298-2830

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

100 N Broadway St
Broken Bow, OK 74728-3934

Mailing address

PO Box 1030
Antlers, OK 74523-1030
Phone (580) 298-2830

Other identifiers

IdentifierTypeStateIssuer
100744370VMedicaidOK

Other providers in Broken Bow, OK

All providers in Broken Bow, OK · Case Management Agency in Oklahoma

Sources for this page

Verify at the official NPI Registry.