Healthcare Provider Details

I. General information

NPI: 1407167935
Provider Name (Legal Business Name): EXPRESS HOME HELP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2010
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 RAMBLING OAKS DR
NORMAN OK
73072-4134
US

IV. Provider business mailing address

6760 OLD JACKSONVILLE HWY STE 101
TYLER TX
75703-0566
US

V. Phone/Fax

Practice location:
  • Phone: 405-722-7171
  • Fax:
Mailing address:
  • Phone: 855-485-8273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KATRINA DAWN LANIER
Title or Position: SECRETARY
Credential:
Phone: 855-485-8273