# ALLY HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053743294
- **Authorized official:** TRENNA SHOTTS (OWNER)
- **Authorized official phone:** (405) 574-4321

## Contact information

- **Practice address:** 103 NORTH HERMANN AVE., BINGER, OK 73009-0000
- **Practice address phone:** (405) 656-2203
- **Practice address fax:** (855) 696-3030
- **Mailing address:** PO BOX R, BINGER, OK 73009-0179
- **Mailing address phone:** (405) 656-2203
- **Mailing address fax:** (855) 696-3030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HC8020 | OK | Yes |

## Other

- **Enumeration date:** 07/30/2013
- **Last updated:** 04/19/2023