Organization Name: | INTERIM HEALTHCARE OF TULSA, INC. |
NPI Number: | 1083663223 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH LAWRENCE (COO/ADMINISTRATOR) |
Mailing Address: | 2828 E 51st Street Ste 218 Tulsa |
State: | OK US |
Postal Code: | 74105 |
Phone Number: | 9187499933 |
Fax Number: | 9187479315 |
NPI Enumeration Date: | 05/06/2006 |
NPI Last Update Date: | 12/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 4256 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |