Organization
LIFESPAN HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMIE KATE MOUSE RN (ADMINISTRATOR)
(918) 337-0601
Entity
Organization
Contact information
Practice address
500 E 4TH ST, BARTLESVILLE, OK 74003-3905
(918) 337-0601
(918) 337-0558
Mailing address
500A E 4TH ST, BARTLESVILLE, OK 74003-3905
(918) 337-0601
(918) 337-0558
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7315
OK
Other
Enumeration date
09/20/2005
Last updated
03/02/2009
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