Organization
PROFESSIONAL HOME HEALTH CARE INC
Active
Organization
PROFESSIONAL HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISA KAYE SANDERS R.N. (PRESIDENT)
(918) 270-4950
Entity
Organization
Contact information
Practice address
211 N 2ND ST, STILWELL, OK 74960
(918) 696-4555
(918) 696-8679
Mailing address
10301 E 51ST ST., SUITE C, TULSA, OK 74146-5808
(918) 270-4950
(918) 270-4952
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100808980C
—
OK
Enumeration date
07/25/2006
Last updated
09/21/2009
Update your record
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