Organization
INTERIM HEALTHCARE OF TULSA, INC
Active
Organization
INTERIM HEALTHCARE OF TULSA, INC
Active
Other names
INTERIM HEALTHCARE HOSPICE OF TULSA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S JOHNSON (CHIEF OPERATING OFFICER)
(918) 749-9933
Entity
Organization
Contact information
Practice address
2828 E 51ST ST, SUITE 305, TULSA, OK 74105-1741
(918) 746-7828
(918) 746-7819
Mailing address
2828 E 51ST ST, SUITE 305, TULSA, OK 74105-1741
(918) 746-7828
(918) 746-7819
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4256
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4256
OKLAHOMA STATE DEPARTMENT OF HEALTH LICENSE
OK
Enumeration date
04/28/2009
Last updated
04/28/2009
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