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Organization

INDIAN TERRITORY HOME HEALTH INC

Active
Parent organization
INDIAN TERRITORY HOME HEALTH INC
Other names
Indian Territory Durable Medical Equipment
Organization subpart
Yes

Provider details

NPI number
Legal business name
INDIAN TERRITORY HOME HEALTH INC
Authorized official
LINDA MOORE (DIRECTOR)
(580) 371-9151
Entity
Organization

Contact information

Practice address
1000 E MAIN ST, SUITE 3, TISHOMINGO, OK 73460-2413
(580) 371-9151
Mailing address
1000 E MAIN ST, SUITE 3, TISHOMINGO, OK 73460-2413
(580) 371-9151

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
239416
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100262450C
OK
Enumeration date
07/30/2006
Last updated
10/27/2010
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