Healthcare Provider Details

I. General information

NPI: 1992975700
Provider Name (Legal Business Name): PEOPLE FIRST INDUSTRIES OF BRYAN COUNTY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2008
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3324 ENTERPRISE DR
DURANT OK
74701-1986
US

IV. Provider business mailing address

PO BOX 1314
DURANT OK
74702-1314
US

V. Phone/Fax

Practice location:
  • Phone: 580-924-8509
  • Fax: 580-924-1925
Mailing address:
  • Phone: 580-924-8509
  • Fax: 877-310-2124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateOK

VIII. Authorized Official

Name: MS. MELYNDA K. KEELING
Title or Position: CONTRACTS ADMINISTRATOR
Credential:
Phone: 580-924-8509