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Contact Information

EUFAULA LAKE FAMILY DEVELOPMENT CENTER
RT 1 BOX 131-C
EUFAULA, OK74432
 Phone: 918-452-3133
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for EUFAULA LAKE FAMILY DEVELOPMENT CENTER

NPI # 1619297421
LBN Legal business name EUFAULA LAKE FAMILY DEVELOPMENT CENTER
Authorized official RANDY RANDLEMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/03/2010
Last updated 06/03/2010 - About 16 years ago
Identifiers
OK License # 21330
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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