Organization
HOME TOWN MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ZUBLIS (OWNER)
(918) 465-4242
Entity
Organization
Contact information
Practice address
1137 SE 1083 AVENUE, RED OAK, OK 74563
(918) 465-4242
(918) 465-4595
Mailing address
1137 SE 1083 AVENUE, RED OAK, OK 74563
(918) 465-4242
(918) 465-4595
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20096980A
—
OK
Enumeration date
09/20/2006
Last updated
12/30/2010
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