Organization
HEALTHWAY HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL I DEVERS RCP (PRESIDENT)
(918) 825-6151
Entity
Organization
Contact information
Practice address
207 S ADAIR ST, PRYOR, OK 74361-5201
(918) 825-6151
(918) 825-6151
Mailing address
PO BOX 985, PRYOR, OK 74362-0985
(918) 825-6151
(918) 825-6151
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/29/2005
Last updated
08/22/2020
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