Healthcare Provider Details

I. General information

NPI: 1912113101
Provider Name (Legal Business Name): BIOS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 E DEWEY AVE
SAPULPA OK
74066-4301
US

IV. Provider business mailing address

309 E DEWEY AVE
SAPULPA OK
74066-4301
US

V. Phone/Fax

Practice location:
  • Phone: 918-227-8390
  • Fax: 918-227-8378
Mailing address:
  • Phone: 918-227-8390
  • Fax: 918-227-8378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateOK

VIII. Authorized Official

Name: LORI MOUSE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 918-227-8390