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NPI Code Detail

MEDICARE: LATINO COMMUNITY DEVELOPMENT AGENCY

MEDICARE: LATINO COMMUNITY DEVELOPMENT AGENCY
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1467692038
Entity Type Code : Organization
Provider Name (Legal Business Name) : LATINO COMMUNITY DEVELOPMENT AGENCY
Provider Business Mailing Address
First Line : 420 SW 10TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-5610
Country : US
Telephone Number : 405-236-0701
Fax Number : 405-236-0773
Provider Business Practice Location Address
First Line : 420 SW 10TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-5610
Country : US
Telephone Number : 405-236-0701
Fax Number : 405-236-0773
Authorized Official
Title or Position : CASE MANAGER
Name : MISS CINDY DANIELA RODRIGUEZ
Credential :
Telephone Number : 405-236-0701
Provider Enumeration Date : 02/23/2009
Last Update Date : 02/23/2009

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Directions to “LATINO COMMUNITY DEVELOPMENT AGENCY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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