Organization
JEROME HOLMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME HOLMES III (CASE MANAGER)
(918) 743-4768
Entity
Organization
Contact information
Practice address
3855 RIVERSIDE DR, TULSA, OK 74105-3045
(918) 743-4768
Mailing address
3855 RIVERSIDE DR, TULSA, OK 74105-3045
(918) 743-4768
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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