# GENESIS HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1174873319
- **Authorized official:** MRS. KATINA CHARLENE MINNEY RN (ADMINISTRATOR)
- **Authorized official phone:** (918) 387-2233

## Contact information

- **Practice address:** 110 N D ST, YALE, OK 74085-3554
- **Practice address phone:** (918) 387-2233
- **Practice address fax:** (888) 851-6045
- **Mailing address:** 110 N D ST, PO BOX 66, YALE, OK 74085-3554
- **Mailing address phone:** (918) 387-2233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1376831396 | OK | Yes |

## Other

- **Enumeration date:** 09/14/2012
- **Last updated:** 09/14/2012