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
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