Organization
HOME CARE MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE C BROWNE (VP OF OPERATIONS)
(918) 465-2626
Entity
Organization
Contact information
Practice address
9128 NW HWY 2, WILBURTON, OK 74578
(918) 465-2626
Mailing address
9128 NW HIWAY, #2, WILBURTON, OK 74578
(918) 465-5726
(918) 465-0042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08485131
SUBMITTER #
—
Enumeration date
08/19/2005
Last updated
08/22/2020
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