Individual
JOSE GRADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 BROADWAY EXT STE 226, OKLAHOMA CITY, OK 73116-9038
(405) 200-8677
Mailing address
7301 BROADWAY EXT STE 226, OKLAHOMA CITY, OK 73116-9038
(405) 200-8677
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PRIVATE
HOME HEALTH AGENCY THAT ONLY ACCEPTS PRIVATE PAY AS OF NOW.
OK
Enumeration date
09/02/2021
Last updated
09/02/2021
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