Organization
MY BROTHERS KEEPER SERVICES UNLIMITED, INC.
Active
Other names
Angelic Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID NEAL CARSON (ADMINISTRATOR)
(918) 622-3800
Entity
Organization
Contact information
Practice address
3790 S ELM PL, SUITE 202, BROKEN ARROW, OK 74011-1803
(918) 622-3800
(918) 622-1574
Mailing address
3790 S ELM PL, SUITE 202, BROKEN ARROW, OK 74011-1803
(918) 622-3800
(918) 622-1574
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7862
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
377727
P TAN
OK
Enumeration date
03/12/2008
Last updated
12/20/2010
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