# BAPTIST HEALTHCARE OF OKLAHOMA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integris Home Care Northeast
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407860190
- **Authorized official:** BRENT DAVIS (VICE PRESIDENT)
- **Authorized official phone:** (405) 949-3774

## Contact information

- **Practice address:** 1103 E 13TH ST, SUITE D, GROVE, OK 74344-7928
- **Practice address phone:** (918) 786-4461
- **Practice address fax:** (918) 787-3645
- **Mailing address:** PO BOX 960399, OKLAHOMA CITY, OK 73196-0399
- **Mailing address phone:** (918) 786-4461
- **Mailing address fax:** (918) 787-3645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 7012 | OK | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 06/03/2020