MEDICARE: NEURA CARE GLOBAL OF TULSA 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1548592132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURA CARE GLOBAL OF TULSA LLC

Provider Business Mailing Address
First Line	:	7737 E 42ND PL STE G
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74145-4728
Country	:	US
Telephone Number	:	918-896-4413
Fax Number	:

Provider Business Practice Location Address
First Line	:	1242 S MEMORIAL DR APT B4
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74112-6010
Country	:	US
Telephone Number	:	918-836-9335
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DONALD RAY PERRY JR.
Credential	:
Telephone Number	:	918-574-4774

Provider Enumeration Date	:	02/05/2010
Last Update Date	:	03/31/2021

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