# RESTORELIFE LLC

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

## Provider details

- **NPI number:** 1982117131
- **Authorized official:** AUGUSTINA AGADAGBA ARNP (OWNER)
- **Authorized official phone:** (918) 813-0511

## Contact information

- **Practice address:** 1324 N SHERIDAN RD, TULSA, OK 74115-6850
- **Practice address phone:** (918) 728-8487
- **Practice address fax:** (918) 728-8487
- **Mailing address:** 909 S ASTER AVE, BROKEN ARROW, OK 74012-8832
- **Mailing address phone:** (918) 813-0511

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2017
- **Last updated:** 11/09/2017
