# COUNTRY STYLE HEALTH CARE, INC. XI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oklahoma Healthcare Solutions XI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255641155
- **Authorized official:** MRS. JACKIE BROWNE (VP OF OPERATIONS)
- **Authorized official phone:** (918) 465-2626

## Contact information

- **Practice address:** 2313 NORTH MAIN ST, GORE, OK 74435-2024
- **Practice address phone:** (918) 489-5519
- **Practice address fax:** (918) 489-5530
- **Mailing address:** 9160 NW HIGHWAY 2, WILBURTON, OK 74578-5306
- **Mailing address phone:** (918) 465-2626
- **Mailing address fax:** (918) 465-0042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HC7956 | OK | Yes |

## Other

- **Enumeration date:** 10/14/2010
- **Last updated:** 12/27/2016