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Organization
QUALITY HOME MEDICAL EQUIPMENT, LLC
Active
Organization
QUALITY HOME MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK LEROY STAFFORD JR. (OWNER)
(918) 968-9226
Entity
Organization
Contact information
Practice address
524 E MAIN ST, STROUD, OK 74079-4217
(918) 968-9226
(918) 968-2169
Mailing address
524 E MAIN ST, STROUD, OK 74079-4217
(918) 968-9226
(918) 968-2169
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731437232001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
06/14/2005
Last updated
11/02/2007
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