# CARTER HEALTHCARE OF SOUTH OKLAHOMA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carter Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346359411
- **Authorized official:** JUSTIN CARTER (AUTHORIZED OFFICIAL/PRESIDENT)
- **Authorized official phone:** (405) 947-7700

## Contact information

- **Practice address:** 1052 NORTHWEST BLVD, ARDMORE, OK 73401-1533
- **Practice address phone:** (580) 226-3166
- **Practice address fax:** (580) 226-5901
- **Mailing address:** 7725 W RENO AVE STE 332, OKLAHOMA CITY, OK 73127-9799
- **Mailing address phone:** (405) 947-7700
- **Mailing address fax:** (405) 947-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 7777 | OK | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 07/02/2025