Healthcare Provider Details

I. General information

NPI: 1760312466
Provider Name (Legal Business Name): PKW SERVICES LLC DBA JUST FOR SENIORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 PERIMETER CENTER DR STE 245
OKLAHOMA CITY OK
73112-2322
US

IV. Provider business mailing address

4200 PERIMETER CENTER DR STE 245
OKLAHOMA CITY OK
73112-2322
US

V. Phone/Fax

Practice location:
  • Phone: 405-227-0801
  • Fax: 405-888-5445
Mailing address:
  • Phone: 405-227-0801
  • Fax: 405-888-5445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH JEAN WALLACE BROWN
Title or Position: MEMBER
Credential:
Phone: 405-227-0801