Provider Demographics
NPI:1396055190
Name:CHRE, LLC
Entity type:Organization
Organization Name:CHRE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPA
Authorized Official - Prefix:
Authorized Official - First Name:MELVA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PARISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-776-0033
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:SALLISAW
Mailing Address - State:OK
Mailing Address - Zip Code:74955-0009
Mailing Address - Country:US
Mailing Address - Phone:918-776-0033
Mailing Address - Fax:918-774-9345
Practice Address - Street 1:30049 E 151ST ST S
Practice Address - Street 2:
Practice Address - City:COWETA
Practice Address - State:OK
Practice Address - Zip Code:74429-4544
Practice Address - Country:US
Practice Address - Phone:918-486-2166
Practice Address - Fax:918-486-6308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKAPPLIED FOR314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility