Organization
VITACARE, LLC
Active
Other names
At Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH LAWRENCE ROYE (MEMBER)
(580) 233-6502
Entity
Organization
Contact information
Practice address
3209 N 14TH ST, PONCA CITY, OK 74601-1035
(580) 765-8159
(580) 765-8327
Mailing address
2417 N. VAN BUREN, ENID, OK 73703
(580) 233-6502
(580) 233-6521
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/08/2011
Last updated
12/30/2014
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