| Cana Missions, Llc | |
|
1409 S Division St Guthrie OK 73044-5009 | |
| (405) 293-9774 | |
| Not Available |
| Full Name | Cana Missions, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1409 S Division St, Guthrie, Oklahoma |
| Authorized Official Name and Position | Shaunna D Machtolff (OWNER) |
| Authorized Official Contact | 4054143891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cana Missions, Llc 1409 S Division St Guthrie OK 73044-5009 Ph: (405) 293-9774 | Cana Missions, Llc 1409 S Division St Guthrie OK 73044-5009 Ph: (405) 293-9774 |
| NPI Number | 1588915771 |
|---|---|
| Provider Enumeration Date | 09/27/2012 |
| Last Update Date | 09/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588915771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3181 (Oklahoma) | Primary |
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