Healthcare Provider Details

I. General information

NPI: 1518262534
Provider Name (Legal Business Name): IN GOOD HANDS CHILDCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2011
Last Update Date: 01/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 SW 12TH ST
OKLAHOMA CITY OK
73109-5755
US

IV. Provider business mailing address

4713 NEWPORT DR
DEL CITY OK
73115-4335
US

V. Phone/Fax

Practice location:
  • Phone: 405-272-3048
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License NumberN/A
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberN/A
License Number StateOK

VIII. Authorized Official

Name: MAJORIE MILES
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 405-595-9579