Organization
INDIAN TERRITORY HOME HEALTH INC
Active
Parent organization
INDIAN TERRITORY HOME HEALTH INC
Other names
Indian Territory Durable Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIAN TERRITORY HOME HEALTH INC
Authorized official
LINDA MOORE (DIRECTOR)
(580) 371-9151
Entity
Organization
Contact information
Practice address
105 N BROADWAY ST, WALTERS, OK 73572-1257
(580) 875-9138
(580) 875-3011
Mailing address
1000 E MAIN ST, SUITE 3, TISHOMINGO, OK 73460-2413
(580) 875-9138
(580) 875-3011
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
65-S-1100
OK
Other
Enumeration date
01/08/2008
Last updated
06/14/2012
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