Provider Demographics
NPI:1881950525
Name:SHYHH HEALTH CARE ENTERPRISES LLC
Entity type:Organization
Organization Name:SHYHH HEALTH CARE ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KALI
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-990-4333
Mailing Address - Street 1:1905 MARSH LN
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-3401
Mailing Address - Country:US
Mailing Address - Phone:405-990-4333
Mailing Address - Fax:877-826-0703
Practice Address - Street 1:1905 MARSH LN
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-3401
Practice Address - Country:US
Practice Address - Phone:405-990-4333
Practice Address - Fax:877-826-0703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-06
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health