Organization
SANS BOIS HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY WINKLEPLECK LPN (ADMINISTRATOR/OWNER)
(918) 967-1001
Entity
Organization
Contact information
Practice address
1505 E MAIN ST STE C, STIGLER, OK 74462-2804
(918) 967-1001
(918) 967-1005
Mailing address
PO BOX 702, STIGLER, OK 74462-0702
(918) 967-1001
(918) 967-1005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7705
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262780
—
OK
Enumeration date
03/29/2006
Last updated
03/24/2009
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