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Organization
SUPRA HOME CARE, INC.
Active
Organization
SUPRA HOME CARE, INC.
Active
Other names
SUPRA Home Care of Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BUTLER (PRESIDENT/CEO)
(504) 837-5557
Entity
Organization
Contact information
Practice address
11333 E PINE ST, SUITE 10A, TULSA, OK 74116-2023
(918) 493-1100
(918) 437-3529
Mailing address
PO BOX 6588, METAIRIE, LA 70009-6588
(504) 837-5557
(504) 833-3466
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7147
OK
Other
Enumeration date
07/06/2006
Last updated
06/08/2011
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