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NPI Code Detail

MEDICARE: BIOS HOME HEALTH CARE LLC

MEDICARE: BIOS HOME HEALTH CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyHC7167OK

General Provider Information

NPI Number : 1659857308
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIOS HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 309 E DEWEY AVE
Second Line :
City : SAPULPA
State : OK
Zip : 74066-4301
Country : US
Telephone Number : 918-227-8390
Fax Number : 918-227-1481
Provider Business Practice Location Address
First Line : 121 S BROADWAY ST
Second Line :
City : CLEVELAND
State : OK
Zip : 74020-4614
Country : US
Telephone Number : 918-358-2483
Fax Number : 918-358-2641
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : LORI M MOUSE
Credential : CPA
Telephone Number : 918-227-8390
Provider Enumeration Date : 07/16/2018
Last Update Date : 07/16/2018

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Directions to “BIOS HOME HEALTH CARE LLC ” Practice Location

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