NPI 1023854288
Medical Muscle, LLC
Practice location
- Address
- 109 S 9th St APT 210, Broken Arrow, OK 74012-4228
- Phone
- (919) 625-6512
Authorised official
- Name
- Daven T Sullivan
- Title
- Administrator
- Phone
- (919) 625-6512
Registered specialties (4)
In Home Supportive Care Agency
Primary
Chore Provider
Home Health Aide
Homemaker
Registry record
- NPI
- 1023854288
- Entity type
- Organization
- NPI issued
- 6 Jul 2024
- Record last updated
- 6 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.