Provider Demographics
NPI:1902188568
Name:HEALTHCARE DINING SOLUTIONS, INC
Entity Type:Organization
Organization Name:HEALTHCARE DINING SOLUTIONS, INC
Other - Org Name:THERAPY SOLUTIONS GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRADFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:918-913-9109
Mailing Address - Street 1:928 N YORK ST
Mailing Address - Street 2:SUITE 20
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74403-3123
Mailing Address - Country:US
Mailing Address - Phone:918-913-9109
Mailing Address - Fax:918-913-9112
Practice Address - Street 1:928 N YORK ST
Practice Address - Street 2:SUITE 20
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74403-3123
Practice Address - Country:US
Practice Address - Phone:918-913-9109
Practice Address - Fax:918-913-9112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No132700000XDietary & Nutritional Service ProvidersDietary ManagerGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200398450AMedicaid