Organization
SHARE HOME HEALTH LLC
Active
Other names
Complete Home Health of Stigler
Organization subpart
No
Provider details
NPI number
Authorized official
IVEN CLELOAND EDWARDS (CEO, OWNER)
(918) 360-7014
Entity
Organization
Contact information
Practice address
508E CONFEDERATE STREET SUITE 104, WHITEFIELD, OK 74472
(855) 420-8225
(855) 415-2862
Mailing address
508E CONFEDERATE STREET SUITE 104, WHITEFIELD, OK 74472-1703
(855) 420-8225
(855) 415-2862
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
7282
OK
251E00000X
Home Health Agency
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699830C
—
OK
05
—
100699830D
—
OK
Enumeration date
10/02/2006
Last updated
07/17/2014
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