Provider Demographics
NPI:1437309515
Name:SNOW HEALTH CARE
Entity Type:Organization
Organization Name:SNOW HEALTH CARE
Other - Org Name:FAMILY TRANSITIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:ACSW, LSW, CCM
Authorized Official - Phone:405-702-1553
Mailing Address - Street 1:4800 N MAYFAIR DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-8209
Mailing Address - Country:US
Mailing Address - Phone:405-702-1553
Mailing Address - Fax:
Practice Address - Street 1:4800 N MAYFAIR DR
Practice Address - Street 2:SUITE A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-8209
Practice Address - Country:US
Practice Address - Phone:405-702-1553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1539251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management