Organization
INNOVATIVE SENIOR CARE HOME HEALTH OF TULSA LLC
Active
Other names
Assured Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1621 S EUCALYPTUS AVE STE 102, BROKEN ARROW, OK 74012-5948
(918) 298-0275
(918) 298-4838
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/25/2011
Last updated
08/17/2022
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