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NPI Code Detail

MEDICARE: THE HOMELESS ALLIANCE, INC.

MEDICARE: THE HOMELESS ALLIANCE, INC.
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
1251V00000XVoluntary or Charitable Agency

General Provider Information

NPI Number : 1053682583
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HOMELESS ALLIANCE, INC.
Provider Business Mailing Address
First Line : 1724 NW 4TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-2609
Country : US
Telephone Number : 405-415-8410
Fax Number : 405-415-8467
Provider Business Practice Location Address
First Line : 1724 NW 4TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-2609
Country : US
Telephone Number : 405-415-8410
Fax Number : 405-415-8467
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : VICTORIA WILSON
Credential : LMSW #7985
Telephone Number : 405-762-0963
Provider Enumeration Date : 01/13/2012
Last Update Date : 12/11/2025

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Directions to “THE HOMELESS ALLIANCE, INC. ” Practice Location

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