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Organization
COMPLETE HOME HEALTH OF TISHOMINGO LLC
Active
Organization
COMPLETE HOME HEALTH OF TISHOMINGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOLA JANE EDWARDS RN BSN MS (PRESIDENT)
(803) 719-3005
Entity
Organization
Contact information
Practice address
315 N WESTERN AVE, TISHOMINGO, OK 73460-4824
(580) 371-9300
Mailing address
315 N WESTERN AVE, TISHOMINGO, OK 73460-4824
(580) 371-9300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7830
OK
Other
Enumeration date
01/03/2014
Last updated
06/23/2023
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