| NPI | 1306878947 |
|---|---|
| Doing Business As | SUPRA HOME CARE OF TULSA |
| Entity Type | Organization |
| Authorized Contact | LARRY BUTLER President/CEO 504-837-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OK 7147) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-06-08 |