Healthcare Provider Details

I. General information

NPI: 1043406101
Provider Name (Legal Business Name): MCCALL'S CHAPEL SCHOOL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 09/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13546 COUNTY ROAD 3600
ADA OK
74820-5378
US

IV. Provider business mailing address

13546 COUNTY ROAD 3600
ADA OK
74820-5378
US

V. Phone/Fax

Practice location:
  • Phone: 580-272-6600
  • Fax: 580-436-2151
Mailing address:
  • Phone: 580-272-6600
  • Fax: 580-436-2151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateOK

VIII. Authorized Official

Name: NINA HONEYMAN
Title or Position: CEO
Credential:
Phone: 580-272-6600