Organization
CLEARLY ALL PROVIDER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASHICA ANN MORTON (OWNER/MANAGING MEMBER)
(918) 933-3022
Entity
Organization
Contact information
Practice address
5020 S 36TH WEST AVE, TULSA, OK 74107-7404
(918) 933-3022
Mailing address
5020 S 36TH WEST AVE, TULSA, OK 74107-7404
(918) 933-3022
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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