Organization
QUALITY HOME MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK LEROY STAFFORD JR. (OWNER)
(918) 968-9226
Entity
Organization
Contact information
Practice address
1112 N HARRISON ST, SHAWNEE, OK 74801-5202
(405) 395-9698
(405) 395-9892
Mailing address
524 E MAIN ST, STROUD, OK 74079-4217
(918) 968-9226
(918) 968-2169
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/14/2005
Last updated
04/20/2008
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