Organization
QUANTUM HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM GHOSN (ADMINISTRATOR)
(580) 248-8481
Entity
Organization
Contact information
Practice address
6302 SW LEE BLVD, LAWTON, OK 73505-9103
(580) 248-8481
(580) 248-8481
Mailing address
6302 SW LEE BLVD, LAWTON, OK 73505-9103
(580) 248-8481
(580) 248-8481
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7520
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262360A
—
OK
Enumeration date
08/16/2006
Last updated
07/31/2020
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