# SCISSORTAIL HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376944694
- **Authorized official:** GLENN EDDLEMAN (MEMBER)
- **Authorized official phone:** (918) 508-7333

## Contact information

- **Practice address:** 4520 S HARVARD AVE, SUITE 200, TULSA, OK 74135-2925
- **Practice address phone:** (918) 508-7333
- **Practice address fax:** (918) 551-6113
- **Mailing address:** 4520 S HARVARD AVE STE 200, TULSA, OK 74135-2900
- **Mailing address phone:** (918) 508-7333
- **Mailing address fax:** (918) 551-6113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2014
- **Last updated:** 02/14/2022