Organization
TILDAN HOME HEALTHCARE AGENCY LLC
Active
Other names
Tildan home healthcare agency LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TILDAN MILLER (CEO)
(918) 304-4061
Entity
Organization
Contact information
Practice address
11090 N 160 RD, OKMULGEE, OK 74447-9180
(918) 260-6299
Mailing address
PO BOX 1862, SAPULPA, OK 74067-1862
(918) 260-6299
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841919594
—
OK
01
—
883874303
HEALTH PROVIDER
OK
Enumeration date
08/25/2022
Last updated
10/13/2023
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