MRS. ALICE FAYE EAGLIN (NPI# 1578760203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578760203 |
| Entity Type | Individual |
| Full Name | MRS. ALICE FAYE EAGLIN |
| Credential | LPN |
| Practice Address |
31850 So 4320 Rd Big Cabin OK 74332 |
| Practice Telephone | 9186935209 |
| Mailing Telephone | 9186935209 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | OK | Residential Treatment Facilities | |
| X | 347C00000X | Private Vehicle | OK | Transportation Services |
| Street Address |
31850 SO 4320 RD |
| City | BIG CABIN |
| State | OK |
| Zip Code | 74332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245377845 | Teresa Anne Sullivan | Chiropractor | 32993 S 69 Hwy, Big Cabin, OK 74332 | 2007-01-31 |
| 1780646299 | Rural Emergency Medical Organization,inc | Ambulance | 264 East Main, Big Cabin, OK 74332-0216 | 2006-04-03 |
| 1891949392 | Grand Gateway Economic Development Association | Case Management | 333 South Oak Street, Big Cabin, OK 74332-0502 | 2008-11-11 |
| 1881936391 | Tiffany Leigh Green | Case Manager/Care Coordinator | 441185 Cedar Crest Dr, Big Cabin, OK 74332-8102 | 2013-03-22 |
| 1164763447 | Lawnie Ray Hess Jr. | Counselor | 26595 E 330 Rd, Big Cabin, OK 74332-8315 | 2013-03-11 |
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598166803 | Mwindaace Davis | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3304 W Galveston Pl, Broken Arrow, OK 74012-3255 | 2014-09-07 |
| 1467863928 | Independent Nursing | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2113 Ne 2nd St, Moore, OK 73160-8155 | 2014-05-17 |
| 1760782940 | Lxe Counseling Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Quail Rd, Lane, OK 74555 | 2010-10-22 |
| 1386815215 | Cletas Cottage Day Treatment Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 220 South 5th St, Noble, OK 73068 | 2008-03-19 |
| 1225221195 | Muskogee Assoc. for The Rights of Citizens W/developmental Disabled | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 210 E Okmulgee St, Muskogee, OK 74403-5453 | 2007-08-23 |
| 1578760609 | Missy Ann Beets | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 N Ethel, Picher, OK 74360 | 2007-07-02 |
| 1609073725 | Vada Arlene Mertens | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 407 16 Blvd Sw, Miami, OK 74354 | 2007-07-02 |
| 1376740019 | Shanon Elizabeth Paxson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25322 S 603 Rd, Grove, OK 74344 | 2007-06-27 |
| 1912104670 | Lori Fay Oneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 321 West South Ave, Vinita, OK 74301 | 2007-06-27 |
| 1730385378 | Rachel Bruner | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27901 W Hwy 16, Bristow, OK 74010 | 2007-06-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.