Organization Name: | ZOMICO, INC. |
NPI Number: | 1942350160 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICKY J COBLE (ADMINISTRATOR) |
Mailing Address: | 4125 S. Mingo Tulsa |
State: | OK US |
Postal Code: | 74146 |
Phone Number: | 9183924401 |
Fax Number: | 9183924408 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 08/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 4211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |