| Tahlequah Men's Shelter Dba Project Osiyo | |
|
118 W Keetoowah St Tahlequah OK 74464-3820 | |
| (918) 708-2015 | |
| Not Available |
| Full Name | Tahlequah Men's Shelter Dba Project Osiyo |
|---|---|
| Speciality | Case Management |
| Location | 118 W Keetoowah St, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Sam Bradshaw (BOARD PRESIDENT) |
| Authorized Official Contact | 9187082015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tahlequah Men's Shelter Dba Project Osiyo 118 W Keetoowah St Tahlequah OK 74464-3820 Ph: (918) 708-2015 | Tahlequah Men's Shelter Dba Project Osiyo 118 W Keetoowah St Tahlequah OK 74464-3820 Ph: (918) 708-2015 |
| NPI Number | 1134704489 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 03/17/2021 |
| Certification Date | 03/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134704489 | NPI | - | NPPES |
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