# PETERS AGENCY HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peters Agency Provider Services, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245568070
- **Authorized official:** MRS. TRUDY A PETERS MBA, RN, CCM, LHCA (CEO)
- **Authorized official phone:** (918) 775-6555

## Contact information

- **Practice address:** 1015 EAST CHOCTAW AVENUE, SALLISAW, OK 74955-5011
- **Practice address phone:** (918) 790-7555
- **Practice address fax:** (918) 790-7587
- **Mailing address:** 1015 EAST CHOCTAW AVENUE, SALLISAW, OK 74955-5011
- **Mailing address phone:** (918) 790-7555
- **Mailing address fax:** (918) 790-7587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | 7891 | OK | — |
| 253Z00000X | In Home Supportive Care Agency | 7891 | OK | Yes |
| 3747P1801X | Personal Care Attendant | 7891 | OK | — |
| 376J00000X | Homemaker | 7891 | OK | — |

## Other

- **Enumeration date:** 12/07/2009
- **Last updated:** 06/10/2010