Organization
LARRY'S HOME OXYGEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY J JANTZEN (OWNER)
(580) 233-5556
Entity
Organization
Contact information
Practice address
115 S GRAND ST, ENID, OK 73701-5654
(580) 233-5556
(580) 233-9993
Mailing address
115 S GRAND ST, ENID, OK 73701-5654
(580) 233-5556
(580) 233-9993
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5-D-655
OK
Other
Enumeration date
05/24/2005
Last updated
08/22/2020
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