Theda Banks
Home Health in Edmond, OK. Individual provider (NPI-1).
NPI number1225586993
StatusActive
Last updated in NPPESSep 12, 2016
Details
- NPI
- 1225586993
- Entity type
- Individual (NPI-1)
- Name
- Theda Banks
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2016
- Last updated
- Sep 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
508 Wild Wind RdEdmond, OK 73003-5024
Phone 405-532-2998
Mailing address
508 Wild Wind RdEdmond, OK 73003-5024
Phone 405-532-2998
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