Provider Demographics
NPI:1497939946
Name:CAREGIVERS L.L.C.
Entity Type:Organization
Organization Name:CAREGIVERS L.L.C.
Other - Org Name:REHAB RANCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:
Authorized Official - Credentials:RPTA
Authorized Official - Phone:918-857-6381
Mailing Address - Street 1:PO BOX 333
Mailing Address - Street 2:
Mailing Address - City:BARNSDALL
Mailing Address - State:OK
Mailing Address - Zip Code:74002-0333
Mailing Address - Country:US
Mailing Address - Phone:918-857-6381
Mailing Address - Fax:918-847-3326
Practice Address - Street 1:544 MATHEWS AVE
Practice Address - Street 2:
Practice Address - City:PAWHUSKA
Practice Address - State:OK
Practice Address - Zip Code:74056-4130
Practice Address - Country:US
Practice Address - Phone:918-857-6381
Practice Address - Fax:918-847-3326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK325261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy