Organization
FIRST CHOICE HOME MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRUZ MALDONADO (PRESIDENT)
(405) 702-6656
Entity
Organization
Contact information
Practice address
5416 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2072
(405) 702-6656
(405) 702-6659
Mailing address
5416 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2072
(405) 702-6656
(405) 702-6659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200108060A
—
OK
Enumeration date
01/09/2007
Last updated
02/29/2012
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