Provider Demographics
NPI:1356689491
Name:CHARTYLER HOMEHEALTH INC
Entity Type:Organization
Organization Name:CHARTYLER HOMEHEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-812-2204
Mailing Address - Street 1:5830 NW EXPRESSWAY # 204
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73132-5239
Mailing Address - Country:US
Mailing Address - Phone:405-812-2204
Mailing Address - Fax:
Practice Address - Street 1:5830 NW EXPRESSWAY NO. 204
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-0000
Practice Address - Country:US
Practice Address - Phone:405-812-2204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health