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Organization

HASKELL COUNTY - CITY OF STIGLER HOSPITAL AUTHORITY

Active
Parent organization
MID - LAKES HOME HEALTHCARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
MID - LAKES HOME HEALTHCARE
Authorized official
MR. JOSEPH S MORRIS (CHIEF FINANCIAL OFFICER)
(918) 967-4682
Entity
Organization

Contact information

Practice address
519 E MAIN ST, STIGLER, OK 74462-2435
(918) 967-8095
(918) 967-0071
Mailing address
PO BOX 728, STIGLER, OK 74462-0728
(918) 967-8095
(918) 967-0071

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7164
OK
251J00000X
Nursing Care Agency
7164
OK
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100700850F
OK
05
100700850T
OK
Enumeration date
08/16/2006
Last updated
03/19/2010
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