Organization
HEALTHCARE INNOVATIONS IN-HOME SERVICES OF PURCELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOLA JANE EDWARDS RN (PRESIDENT /ADMINISTRATOR)
(918) 360-7014
Entity
Organization
Contact information
Practice address
210 N MAIN, PURCELL, OK 73080-4222
(405) 527-0480
Mailing address
210 N MAIN, PURCELL, OK 73080-4222
(405) 527-0480
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
377502
MEDICARE P-TAN NUMBER
OK
Enumeration date
04/06/2012
Last updated
05/20/2020
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