MEDICARE: ARROW CHILD AND FAMILY MINISTRIES OF OKLAHOMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253J00000X	Foster Care Agency

General Provider Information

NPI Number	:	1043603376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARROW CHILD AND FAMILY MINISTRIES OF OKLAHOMA

Provider Business Mailing Address
First Line	:	2929 FM 2920 RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-3428
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7710 NW 10TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73127-4413
Country	:	US
Telephone Number	:	281-210-1558
Fax Number	:

Authorized Official
Title or Position	:	REVENUE ASSURANCE MANAGER
Name	:	AMANDA CLOESSNER
Credential	:
Telephone Number	:	281-210-1558

Provider Enumeration Date	:	03/11/2015
Last Update Date	:	03/11/2015

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Directions to “ARROW CHILD AND FAMILY MINISTRIES OF OKLAHOMA ” Practice Location

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