Provider Demographics
NPI:1669809745
Name:YCO WEST, INC TFC
Entity type:Organization
Organization Name:YCO WEST, INC TFC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-821-4645
Mailing Address - Street 1:222 E SHERIDAN AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-4233
Mailing Address - Country:US
Mailing Address - Phone:405-200-0126
Mailing Address - Fax:
Practice Address - Street 1:222 E SHERIDAN AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-4233
Practice Address - Country:US
Practice Address - Phone:405-200-0126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKK860000356253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency