# SUPRA HOME CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUPRA Home Care of Tulsa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306878947
- **Authorized official:** LARRY BUTLER (PRESIDENT/CEO)
- **Authorized official phone:** (504) 837-5557

## Contact information

- **Practice address:** 11333 E PINE ST, SUITE 10A, TULSA, OK 74116-2023
- **Practice address phone:** (918) 493-1100
- **Practice address fax:** (918) 437-3529
- **Mailing address:** PO BOX 6588, METAIRIE, LA 70009-6588
- **Mailing address phone:** (504) 837-5557
- **Mailing address fax:** (504) 833-3466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 7147 | OK | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 06/08/2011