Provider Demographics
NPI:1245426303
Name:MCCALL'S CHAPEL SCHOOL INC
Entity Type:Organization
Organization Name:MCCALL'S CHAPEL SCHOOL INC
Other - Org Name:MCCALL'S CHAPEL SCHOOL INC - AL-HST
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HONEYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-272-6600
Mailing Address - Street 1:13546 COUNTY ROAD 3600
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-5378
Mailing Address - Country:US
Mailing Address - Phone:580-272-6600
Mailing Address - Fax:580-436-2151
Practice Address - Street 1:13546 COUNTY ROAD 3600
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-5378
Practice Address - Country:US
Practice Address - Phone:580-272-6600
Practice Address - Fax:580-436-2151
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCCALL'S CHAPEL SCHOOL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty