Organization
INTEGRIS MIAMI HOSPITAL
Active
Other names
Integris Home Care Northeast
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA WALLACE (ASSISTANT TREASURER)
(636) 359-4890
Entity
Organization
Contact information
Practice address
207 2ND AVE SW, MIAMI, OK 74354-6818
(918) 540-2577
Mailing address
PO BOX 200759, DALLAS, TX 75320-0759
(405) 252-8319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699440D
—
OK
Enumeration date
07/26/2006
Last updated
08/09/2024
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