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Indian Territory Long Term Care, Inc. — NPI 1811095235, Tishomingo, OK | NPI Central

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NPI 1811095235

OrganizationActive

Indian Territory Long Term Care, Inc.

NPI 1811095235 · Public Health or Welfare Agency · Tishomingo, OK

Provider details

NPI number: 1811095235
Entity type: Organization
Primary specialty: Public Health or Welfare AgencyAgencies
Organization subpart: No
Authorized official: Rhonda Hendrix, Owner(580) 371-2106
License: 100627980E (OK)

Specialties & taxonomies

Public Health or Welfare AgencyPrimary251K00000XLicense 100627980A (OK)
Agencies
In Home Supportive Care Agency253Z00000XLicense 100627980E (OK)
Agencies

Practice location

105 N Neshoba St

Tishomingo, OK 73460-1739

Phone: (580) 371-0015

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

105 N Neshoba St

Tishomingo, OK 73460-1739

Other names (DBA / former)

Doing business as: Indian Territory Provider Care Plus

Registry dates

Enumerated: 2006-09-20
Last updated: 2008-11-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.