# EPWORTH AT HOME LLC

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

## Provider details

- **NPI number:** 1386069938
- **Authorized official:** TINA L BALLARD (MANAGER)
- **Authorized official phone:** (405) 767-9033

## Contact information

- **Practice address:** 14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134-6069
- **Practice address phone:** (405) 767-9033
- **Practice address fax:** (405) 767-9931
- **Mailing address:** 14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134-6069
- **Mailing address phone:** (405) 767-9033
- **Mailing address fax:** (405) 767-9931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2014
- **Last updated:** 06/26/2017