Organization
ANGELS OF GRACE HME AND SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN W ALALI (GENERAL MANAGER)
(405) 413-1578
Entity
Organization
Contact information
Practice address
4801 N CLASSEN BLVD, STE 237, OKLAHOMA CITY, OK 73118-4627
(405) 858-8401
(405) 858-8404
Mailing address
3500 S BOULEVARD, SUITE A-2, EDMOND, OK 73013-5486
(405) 340-5100
(405) 340-5109
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
02/08/2016
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