Individual
TIMOTHY HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADMINISTRATOR
Contact information
Practice address
4515 E 53RD ST # 132, TULSA, OK 74135-4050
(918) 430-3088
Mailing address
4515 E 53RD ST # 132, TULSA, OK 74135-4050
(918) 430-3088
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
CSS0800
OK
251E00000X
Home Health Agency
Primary
CSS0800
OK
374U00000X
Home Health Aide
CSS0800
OK
385H00000X
Respite Care
CSS0800
OK
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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