Organization
VISIONQUEST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA ANNE FLOWERETTE R.N. (ADMINISTRATOR)
(918) 287-1400
Entity
Organization
Contact information
Practice address
606 KIHEKAH AVE, PAWHUSKA, OK 74056-4225
(918) 287-1400
(918) 287-1814
Mailing address
606 KIHEKAH AVE, PAWHUSKA, OK 74056-4225
(918) 287-1400
(918) 287-1814
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336162601
DMES
OK
Enumeration date
11/17/2006
Last updated
08/22/2020
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