Provider Demographics
NPI:1851789069
Name:SPANISH COVE HOUSING AUTHORITY
Entity type:Organization
Organization Name:SPANISH COVE HOUSING AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO & EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:N
Authorized Official - Last Name:BLOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-354-1901
Mailing Address - Street 1:11 PALM AVE
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-5645
Mailing Address - Country:US
Mailing Address - Phone:405-354-1901
Mailing Address - Fax:405-354-6584
Practice Address - Street 1:11 PALM AVE
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-5645
Practice Address - Country:US
Practice Address - Phone:405-354-1901
Practice Address - Fax:405-354-6584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-23
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based