Organization
ALL SAINTS HOME MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELI SMITH (EXECUTIVE DIRECTOR)
(918) 494-8497
Entity
Organization
Contact information
Practice address
1704 S UTICA AVE, TULSA, OK 74104-5318
(918) 592-2720
Mailing address
3218 S 79TH EAST AVE, TULSA, OK 74145-1316
(918) 624-4400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18003
MEDICARE ID
OK
Enumeration date
01/24/2007
Last updated
12/05/2012
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