Indian Territory Home Health and Hospice Inc.
NPI #1437256831 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1437256831
- Entity Type
- Organization
- Organization Name
- Indian Territory Home Health and Hospice Inc.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Sep 20, 2006
- Last Updated
- May 7, 2008
Practice Location
- Address
- 512 E 24TH ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-3214
- Phone
- (580) 371-2394
Authorized Official
- Name
- MR. TIM PAUL WIGINGTON
- Title
- OWNER, ADMINISTRATOR
- Phone
- (580) 371-2394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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