Organization
STEWART HEALTHCARE ENTERPRISES, LLC
Active
Other names
LifeSpring Edmond Home Health, Lifecare Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN VAHLBERG (PRESIDENT)
(405) 735-6122
Entity
Organization
Contact information
Practice address
1900 E 15TH ST STE 500C, EDMOND, OK 73013-6696
(405) 735-6122
(405) 735-6701
Mailing address
2411 SPRINGER DR, NORMAN, OK 73069-3955
(405) 329-4545
(405) 735-6701
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7819
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37-7701
MEDICARE PTAN
—
01
—
7819
STATE LICENSE NUMBER
OK
Enumeration date
08/30/2013
Last updated
02/07/2023
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