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NPI Code Detail

MEDICARE: LOVE & KARE TREATMENT SERVICES, LLC

MEDICARE: LOVE & KARE TREATMENT SERVICES, LLC
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
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1417332164
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOVE & KARE TREATMENT SERVICES, LLC
Provider Business Mailing Address
First Line : 907 S DETROIT AVE
Second Line : SUITE 1140
City : TULSA
State : OK
Zip : 74120-4205
Country : US
Telephone Number : 918-442-2372
Fax Number : 918-728-3310
Provider Business Practice Location Address
First Line : 907 S DETROIT AVE
Second Line : SUITE 1140
City : TULSA
State : OK
Zip : 74120-4205
Country : US
Telephone Number : 918-442-2372
Fax Number : 918-728-3310
Authorized Official
Title or Position : CEO/OWNER
Name : MR. DAMON L GUTHERY SR.
Credential : M. ED
Telephone Number : 918-442-2372
Provider Enumeration Date : 07/23/2015
Last Update Date : 09/16/2015

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Directions to “LOVE & KARE TREATMENT SERVICES, LLC ” Practice Location

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