Healthcare Provider Details

I. General information

NPI: 1932150174
Provider Name (Legal Business Name): MAYS HOUSECALL HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 05/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SW C ST
ANTLERS OK
74523-3838
US

IV. Provider business mailing address

3310 LAMAR AVE
PARIS TX
75460-5024
US

V. Phone/Fax

Practice location:
  • Phone: 580-298-3947
  • Fax: 580-298-2443
Mailing address:
  • Phone: 903-905-4810
  • Fax: 903-905-4812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number7069
License Number StateOK

VIII. Authorized Official

Name: ERIK K. DRENNEN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RN
Phone: 580-298-3947