Organization
ENHANCED MOBILE WOUND CARE LLC
Active
Organization
ENHANCED MOBILE WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA HOLLEY (PRESIDENT)
(405) 763-7333
Entity
Organization
Contact information
Practice address
15105 CROWN AT LONE OAK RD STE 200, EDMOND, OK 73013-2258
(405) 763-7333
Mailing address
15105 CROWN AT LONE OAK RD STE 200, EDMOND, OK 73013-2258
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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