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Organization

ENESCENCE COMMUNITY SERVICES AND SUPPORT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH HOLMES (CEO)
(972) 330-7697
Entity
Organization

Contact information

Practice address
4 BRIARWOOD ST, SAPULPA, OK 74066
(972) 330-7697
Mailing address
7521 S OLYMPIA AVE # 1042, TULSA, OK 74132-1855
(972) 330-7697

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
347E00000X
Transportation Broker

Other

Enumeration date
04/24/2026
Last updated
04/24/2026
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