Organization
BEVERLY A HELMS
Active
Other names
Grand Prosthetics and Orthotics LightWeight Artificial Limbs Braces
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY A HELMS CLPO RN (OWNER MANAGER PROFESSIONAL PROVIDER)
(918) 786-4626
Entity
Organization
Contact information
Practice address
5 E 14TH ST, GROVE, OK 74344-5347
(918) 786-4626
(801) 998-0979
Mailing address
PO BOX 451557, GROVE, OK 74345-1557
(918) 786-4626
(801) 998-0979
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LPO24
OK
Other
Enumeration date
01/12/2007
Last updated
12/19/2007
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