Provider Demographics
NPI:1609021906
Name:ALL THE WAY HOME, LLC
Entity Type:Organization
Organization Name:ALL THE WAY HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-946-7137
Mailing Address - Street 1:103 E PATTI PAGE BLVD
Mailing Address - Street 2:STE 7
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-8227
Mailing Address - Country:US
Mailing Address - Phone:918-946-7137
Mailing Address - Fax:
Practice Address - Street 1:103 E PATTI PAGE BLVD
Practice Address - Street 2:STE 7
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-8227
Practice Address - Country:US
Practice Address - Phone:918-946-7137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility