Provider Demographics
NPI:1285950121
Name:MARANATHA HOME HEALTH INC
Entity type:Organization
Organization Name:MARANATHA HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:T
Authorized Official - Last Name:JEREMIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-252-7323
Mailing Address - Street 1:6315 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-1940
Mailing Address - Country:US
Mailing Address - Phone:918-252-7323
Mailing Address - Fax:918-252-7222
Practice Address - Street 1:6315 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-1940
Practice Address - Country:US
Practice Address - Phone:918-252-7323
Practice Address - Fax:918-252-7222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health