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Organization

PROVIDENCE EXCEL HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AMOS O. ADESOKAN RN BSN (ADMINISTRATOR)
(918) 625-4797
Entity
Organization

Contact information

Practice address
4845 S SHERIDAN RD STE 502, TULSA, OK 74145-5719
(918) 794-4334
(918) 794-4344
Mailing address
4845 S SHERIDAN RD STE 502, TULSA, OK 74145-5719
(918) 794-4334
(918) 794-4344

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CSS0016
OK

Other

Enumeration date
11/15/2010
Last updated
11/15/2010
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