OrganizationActive
Complete Home Health of Tishomingo LLC
NPI 1891116232 · Home Health Agency · Tishomingo, OK
Provider details
- NPI number
- 1891116232
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lola Edwards, President(803) 719-3005
- License
- 7830 (OK)
Specialties & taxonomies
Agencies
Practice location
315 N Western Ave
Tishomingo, OK 73460-4824
Phone: (580) 371-9300
Approximate (ZIP-level) locationGet directions
Mailing address
315 N Western Ave
Tishomingo, OK 73460-4824
Registry dates
- Enumerated
- 2014-01-03
- Last updated
- 2023-06-23
- Certified
- 2023-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.