OrganizationActive
Premier Community Services
NPI 1255547956 · Developmentally Disabled Services Day Training Agency · Tulsa, OK
Provider details
- NPI number
- 1255547956
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tracy Whyburn, Business Manager(919) 627-2668
Specialties & taxonomies
Agencies
Practice location
4530 S Sheridan Rd
Suite 103
Tulsa, OK 74145-1141
Phone: (918) 627-2668
Approximate (ZIP-level) locationGet directions
Mailing address
4530 S Sheridan Rd
Tulsa, OK 74145-1141
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.