Most Relevant Information
Provider Data
| NPI Number: | 1003560467 |
| Provider Name: | CHEYENNE EDDINGS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | H083409341 |
Most Important Dates
| Enumeration Date: | 02/04/2022 |
| Last Updated: | 02/04/2022 |
Provider Practice Location
907 W CADDO STREET
CLEVELAND
OK
74020
Practice Location Phone/Fax
| Phone: | 9182731841 |
| Fax: |
Provider Mailing Location
907 W CADDO STREET
CLEVELAND
OK
74020
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |