Organization
ALL SAINTS HOME MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELI SMITH (EXECUTIVE DIRECTOR)
(918) 494-8497
Entity
Organization
Contact information
Practice address
6585 S YALE AVE, STE 435, TULSA, OK 74136-8384
(918) 502-2727
(918) 502-2720
Mailing address
6585 S YALE AVE, STE 345, TULSA, OK 74136-8384
(918) 502-2727
(918) 502-2720
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100807350A
—
OK
01
—
18003
MEDICARE ID SUBMITTER
OK
Enumeration date
12/21/2006
Last updated
12/05/2012
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