Provider Demographics
NPI:1063837706
Name:MAYS HOUSECALL HOME HEALTH OF TULSA, LLC
Entity Type:Organization
Organization Name:MAYS HOUSECALL HOME HEALTH OF TULSA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:DRENNEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-905-4810
Mailing Address - Street 1:3310 LAMAR AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-5024
Mailing Address - Country:US
Mailing Address - Phone:903-905-4810
Mailing Address - Fax:903-905-4812
Practice Address - Street 1:1312 S GARNETT RD
Practice Address - Street 2:SUITE A & B
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74128-1811
Practice Address - Country:US
Practice Address - Phone:918-437-0620
Practice Address - Fax:918-437-8789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health