Provider Demographics
NPI:1164194643
Name:OVERGAARD SERVICES INC.
Entity Type:Organization
Organization Name:OVERGAARD SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARREL
Authorized Official - Middle Name:C
Authorized Official - Last Name:OVERGAARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-444-3002
Mailing Address - Street 1:3501 FRENCH PARK DR STE G
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-7290
Mailing Address - Country:US
Mailing Address - Phone:405-444-3002
Mailing Address - Fax:405-444-3911
Practice Address - Street 1:3501 FRENCH PARK DR STE G
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-7290
Practice Address - Country:US
Practice Address - Phone:405-444-3002
Practice Address - Fax:405-444-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-02
Last Update Date:2021-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKHC8132OtherHOME HEALTH AGENCY