Organization
LIFE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT A MATTOX (OWNER)
(918) 775-6236
Entity
Organization
Contact information
Practice address
114 E CHEROKEE AVE, SALLISAW, OK 74955-4622
(918) 775-6236
(918) 775-1226
Mailing address
114 E CHEROKEE AVE, SALLISAW, OK 74955-4622
(918) 775-6236
(918) 775-1226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OK
Other
Enumeration date
08/03/2005
Last updated
07/21/2022
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