| Land Of Hope | |
|
57523 Moccasin Trail Road Prague OK 74864 | |
| (405) 567-0054 | |
| Not Available |
| Full Name | Land Of Hope |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 57523 Moccasin Trail Road, Prague, Oklahoma |
| Authorized Official Name and Position | Mary Ann Thornton (EXECUTIVE OFFICER) |
| Authorized Official Contact | 4055670054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Land Of Hope 57523 Moccasin Trail Road Prague OK 74864 Ph: (405) 567-0054 | Land Of Hope 57523 Moccasin Trail Road Prague OK 74864 Ph: (405) 567-0054 |
| NPI Number | 1487837167 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487837167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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