Organization
QUALITY HOME MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK LEROY STAFFORD (OWNER)
(918) 968-9226
Entity
Organization
Contact information
Practice address
2005 W WRANGLER BLVD, SEMINOLE, OK 74868
(405) 382-7900
(405) 382-7904
Mailing address
524 E MAIN ST, STROUD, OK 74079-4217
(918) 968-9226
(918) 968-2169
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
09/07/2007
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