Organization
SUNBEAM HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND L LEACH (OWNER/CEO)
(918) 358-8040
Entity
Organization
Contact information
Practice address
1004 N BROADWAY ST, CLEVELAND, OK 74020-1237
(918) 640-4759
(918) 640-4759
Mailing address
1004 N BROADWAY ST, CLEVELAND, OK 74020-1237
(918) 358-8040
(918) 358-8040
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194271577
HOME THERAPY
OK
Enumeration date
10/03/2017
Last updated
10/03/2017
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