NPI Provider: 1972509172
Contact Name: Wadley David
Position: Owner
Phone: (405) 527-7798
Wadley Care Center Information:
Wadley Care Center organization have npi 1972509172, taxonomy code is 314000000X with license number is 375286 in . This Business address located in P.O. Box 1675, Purcell, OK 73080 Oklahoma.
Practice Location
Address: 801 N. 6th Street, Purcell, OK 73080
Phone: (405) 527-7798
Business Location
Address: P.O. Box 1675, Purcell, OK 73080
Phone: (405) 527-7798
Fax: (405) 527-5175
Taxonomy
Taxonomy Code: 314000000X
License Number: 375286
License Number of State: OK
Primary Taxonomy Switch: Y
Enumeration Date: 6/22/2005
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