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Organization
HOME HEALTH AGENCY OKLAHOMA CITY INC
Active
Organization
HOME HEALTH AGENCY OKLAHOMA CITY INC
Active
Other names
Omni Home Care of Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER TRACY CLARK (EVP)
(954) 753-4883
Entity
Organization
Contact information
Practice address
5400 N GRAND BLVD, STE 145, OKLAHOMA CITY, OK 73112-5692
(405) 942-1223
(405) 942-1224
Mailing address
5400 N GRAND BLVD, STE 145, OKLAHOMA CITY, OK 73112-5692
(405) 942-1223
(405) 942-1224
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7085
OK
Other
Enumeration date
11/16/2005
Last updated
02/05/2008
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