Organization
ACE MEDICAL HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANA LOUISE SUTER (OWNER)
(918) 423-2700
Entity
Organization
Contact information
Practice address
13 S MAIN ST, MCALESTER, OK 74501-5361
(918) 423-2700
(918) 423-6612
Mailing address
13 S MAIN ST, MCALESTER, OK 74501-5361
(918) 423-2700
(918) 423-6612
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
499711
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100809940A
—
OK
Enumeration date
06/22/2005
Last updated
02/02/2012
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