Provider Demographics
NPI:1215060470
Name:OKLAHOMANS FOR INDEPENDENT LIVING
Entity type:Organization
Organization Name:OKLAHOMANS FOR INDEPENDENT LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, FAAA
Authorized Official - Phone:918-426-6220
Mailing Address - Street 1:601 E CARL ALBERT PKWY
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-5113
Mailing Address - Country:US
Mailing Address - Phone:918-426-6220
Mailing Address - Fax:918-426-3245
Practice Address - Street 1:601 E CARL ALBERT PKWY
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-5113
Practice Address - Country:US
Practice Address - Phone:918-426-6220
Practice Address - Fax:918-426-3245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management