Organization
3D HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA D. SPEARS RN, BSN (ADMINSTRATOR/SUPERVISING NURSE)
(918) 465-9001
Entity
Organization
Contact information
Practice address
116 W MAIN ST, WILBURTON, OK 74578-4044
(918) 465-9001
(918) 465-9004
Mailing address
116 W MAIN ST, WILBURTON, OK 74578-4044
(918) 465-9001
(918) 465-9004
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC7776
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC7776
STATE LICENSURE NUMBER
OK
Enumeration date
07/05/2005
Last updated
09/06/2023
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