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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENNINGTON CREEK LIFEHOUSE

Active Organization

PENNINGTON CREEK LIFEHOUSE is a Community/Behavioral Health organization located in TISHOMINGO, Oklahoma. NPI 1831464304 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · TISHOMINGO, OK

Registration Details

NPI Number
1831464304
Provider Type
Organization
NPI Issued
Mar 16, 2012 (14.430054592563 yrs)
Last Updated
Mar 16, 2012

Practice Information

Address
801 E MAIN ST
TISHOMINGO, OK, 734602351
Browse OK providers · Browse ZIP 73460
Phone
5803713799
Fax
5803712056
Primary Specialty
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.