Organization
DEVINE CORPORATION
Active
Other names
Devine Healthcare Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD D RICHARDSON (PRESIDENT)
(918) 371-6997
Entity
Organization
Contact information
Practice address
918 W BROADWAY ST, STE B, COLLINSVILLE, OK 74021-2431
(918) 371-6997
(918) 371-6997
Mailing address
918 W BROADWAY ST, STE B, COLLINSVILLE, OK 74021-2431
(918) 371-6997
(918) 371-6997
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
2-S-1175
OK
Other
Enumeration date
11/19/2007
Last updated
04/11/2008
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