OrganizationActive
Providence Service Corporation of Oklahoma
NPI 1811039894 · Case Management Agency · Ada, OK
Providence Service Corporation of Oklahoma is a Case Management Agency organization in Ada, OK (NPI 1811039894).
Provider details
- NPI number
- 1811039894
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Breeann Hoerning, Ar Billing Manager(520) 747-6694
Practice location
931 Arlington St Ste 2
Ada, OK 74820-4025
Phone: (580) 332-6851
Fax: (580) 310-6047
Street-level locationGet directions
Mailing address
620 N Craycroft Rd
Tucson, AZ 85711-1448
Registry dates
- Enumerated
- 2007-02-13
- 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.