Valliant House, Llc

NPI 1104030402 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1104030402
Enumeration Date 05/09/2007
Last Updated 10/01/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DIONNE DIONNE
Position EXECUTIVE DIRECTOR
Phone (580) 933-7031
Fax (580) 933-7034
Practice Location
300 N. DALTON AVE
VALLIANT OK, 74764, US
Phone (580) 933-7031
Fax (580) 933-7034
Business Location
PO BOX 673
VALLIANT OK, 74764-0673, US
Phone (580) 933-7031
Fax (580) 933-7034
Toxanomy
Taxonomy Code 324500000X
License State
License Number
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According to our database, Valliant House, Llc NPI is 1104030402, taxonomy code is 324500000X Valliant House, Llc physically located at 300 N. Dalton Ave, Valliant OK, 74764. NPI Number 1033115704 has the healthcare provider type.

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1104030402 NPI number is provided on an as is basis without warranty of any kind. 1104030402 is maintained by the National Plan & Provider Enumeration System. The contents of Valliant House, Llc are for informational purposes only.