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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