Dandra Kaye Rentie in Moore - Addiction (substance Use Disorder)
Dandra Kaye Rentie - NPI 1730200692
Dandra Kaye Rentie is a Addiction (substance Use Disorder) in Moore, Oklahoma. Dandra Kaye Rentie practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Dandra Kaye Rentie is 1730200692. The last update date is 2007-07-09.
Dandra Kaye Rentie's current location address is 624 Nw 5th Street, Moore, Oklahoma. You can contact this provider via phone number 4059123871 and fax number 4057990912. The mailing address for Dandra Kaye Rentie is 624 Nw 5th Street, Moore, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dandra Kaye Rentie |
|---|---|
| Address | 624 Nw 5th Street, Moore, Oklahoma |
| Phone Number | 4059123871 |
| Fax Number | 4057990912 |
| Sole Proprietor | N |
| Credentials | LADC |
NPI Number Detail
| NPI Number | 1730200692 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 624 Nw 5th Street |
|---|---|
| City | Moore |
| State | Oklahoma (OK) |
| Post Code | 73160 |
| Phone Number | 4059123871 |
| Fax Number | 4057990912 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LADC--603 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identifier code assigned to Dandra Kaye Rentie by the Centers for Medicare & Medicaid Services?
The Dandra Kaye Rentie has been issued the NPI (National Provider Identifier) 1730200692 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Dandra Kaye Rentie?
The Dandra Kaye Rentie is situated at 624 Nw 5Th Street, in the city of Moore, state of OK, with the zip code 73160.
What is Dandra Kaye Rentie's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dandra Kaye Rentie is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did Dandra Kaye Rentie receive its 1730200692 assignment from the Centers for Medicare & Medicaid Services?
The Dandra Kaye Rentie was assigned its 1730200692 on 2007-04-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Dandra Kaye Rentie most recently updated or revised?
The information pertaining to Dandra Kaye Rentie, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.