Provider Demographics
NPI:1326293275
Name:OKSL LLC
Entity Type:Organization
Organization Name:OKSL LLC
Other - Org Name:EAST GEORGIA HOME HEALTH INFUSION THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, IV THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-489-4663
Mailing Address - Street 1:373 SAVANNAH AVE
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-2070
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:373 SAVANNAH AVE
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-2070
Practice Address - Country:US
Practice Address - Phone:912-489-4663
Practice Address - Fax:912-489-2825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
GAPHHH0000433336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1158775OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1158775OtherNCPDP PROVIDER IDENTIFICATION NUMBER