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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