Provider Demographics
NPI:1578709291
Name:CARETEAM OF OKC
Entity Type:Organization
Organization Name:CARETEAM OF OKC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHILDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-322-3777
Mailing Address - Street 1:PO BOX 4728
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-0728
Mailing Address - Country:US
Mailing Address - Phone:940-322-3777
Mailing Address - Fax:940-723-8081
Practice Address - Street 1:4531 MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-4609
Practice Address - Country:US
Practice Address - Phone:940-322-3777
Practice Address - Fax:940-723-8081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7898251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health