Organization
TLC HOME NURSING AND THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMPSEY DAVENPORT OWNER (OWNER)
(580) 564-0000
Entity
Organization
Contact information
Practice address
601 HWY 70 N, KINGSTON, OK 73439-8155
(580) 564-0000
(580) 564-0004
Mailing address
601 HWY 70 N, KINGSTON, OK 73439-8155
(580) 564-0000
(580) 564-0004
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC7972
OK
Other
Enumeration date
08/31/2011
Last updated
09/16/2016
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