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Contact Information

THANH HOANG
2448 W NEW ORLEANS ST
BROKEN ARROW, OK74011-1590
 Phone: 918-286-4980
 Fax: 918-286-4970
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Adult Companion

372600000X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1629600093
Entity Organization
Organization subpart 1 Not specified
Enumeration date 02/04/2020
Last updated 02/04/2020 - About 6 years ago
Identifiers
OK License # HC8114
OK Other HC8114 STATE OF OKLAHOMA DEPT OF HEALTH LICENSE NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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