# OUTREACH HOME SERVICES, L.L.C.

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

## Provider details

- **NPI number:** 1114938891
- **Authorized official:** MRS. JEANNIE FROST R.N. (ADMINISTRATOR)
- **Authorized official phone:** (918) 682-6400

## Contact information

- **Practice address:** 2303 S YORK ST, MUSKOGEE, OK 74403-8876
- **Practice address phone:** (918) 682-6400
- **Practice address fax:** (918) 682-6402
- **Mailing address:** 2303 S YORK ST, MUSKOGEE, OK 74403-8876
- **Mailing address phone:** (918) 682-6400
- **Mailing address fax:** (918) 682-6402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | INITIAL APPLICATION | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 07/02/2009