# PROFESSIONAL HOME CARE OF GARVIN COUNTY OKLAHOMA INC

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

## Provider details

- **NPI number:** 1518969740
- **Authorized official:** MR. TONY HOVIS (VICE-PRESIDENT)
- **Authorized official phone:** (405) 238-7563

## Contact information

- **Practice address:** 2510 W GRANT AVE, PAULS VALLEY, OK 73075-9247
- **Practice address phone:** (405) 238-7563
- **Practice address fax:** (405) 238-5990
- **Mailing address:** 2510 W GRANT AVE, PAULS VALLEY, OK 73075-9247
- **Mailing address phone:** (405) 238-7563
- **Mailing address fax:** (405) 238-5990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 7328 | OK | Yes |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 09/23/2011