Provider Demographics
NPI:1194131839
Name:HARRINGTON, EUDORA LEE
Entity type:Individual
Prefix:
First Name:EUDORA
Middle Name:LEE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S BROADWAY
Mailing Address - Street 2:STE. 5 T. GREENE MANAGEMENT CO., LLC.
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-3848
Mailing Address - Country:US
Mailing Address - Phone:405-285-7019
Mailing Address - Fax:405-285-7029
Practice Address - Street 1:400 S BROADWAY
Practice Address - Street 2:STE. 5
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-3848
Practice Address - Country:US
Practice Address - Phone:405-285-7019
Practice Address - Fax:405-285-7029
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator