| Organization Name: | INDIAN TERRITORY HOME HEALTH INC |
| NPI Number: | 1710162896 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA MOORE (DIRECTOR) |
| Mailing Address: | 105 N Broadway St Walters |
| State: | OK US |
| Postal Code: | 735721257 |
| Phone Number: | 5808759138 |
| Fax Number: | 5808753011 |
| NPI Enumeration Date: | 01/08/2008 |
| NPI Last Update Date: | 06/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 65-S-1100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |