Organization
CHRISTIAN COMPANION SENIOR CARE OF TULSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH EDWARD HUCKABONE (GENERAL MANAGER)
(918) 394-2272
Entity
Organization
Contact information
Practice address
3015 E SKELLY DR, SUITE # 253, TULSA, OK 74105-6317
(918) 394-2272
(918) 392-4007
Mailing address
3015 E SKELLY DR, SUITE # 253, TULSA, OK 74105-6317
(918) 394-2272
(918) 392-4007
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
7835
OK
Other
Enumeration date
04/25/2009
Last updated
04/25/2009
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