Individual ProviderDavid JukichSocial WorkerBehavioral Health & Social Service ProvidersPractice Address7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743(918) 492-2554PECOS EnrollmentBased on the most recent information from CMS, provider David Jukich does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1750618435Provider TypeIndividualFull NameJukich, DavidGenderMaleSole ProprietorNoEnumeration Date11/17/2009Last Updated11/17/2009Contact InformationPractice LocationPractice Address7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743Phone(918) 492-2554FaxUnlisted FaxMailing LocationMailing Address1227 S Delaware Ave, Okmulgee, OK 74447-7820PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer