| NPI | 1588733869 |
|---|---|
| Doing Business As | BOULEVARD HOMECARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KIRK DESHAZO President/Owner 918-336-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-12-08 |