# HUMPHREY HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Humphrey Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619761939
- **Authorized official:** DILAN HUMPHREY (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (580) 917-2561

## Contact information

- **Practice address:** 4202 SW LEE BLVD BLDG A STE B, LAWTON, OK 73505-8300
- **Practice address phone:** (580) 917-2561
- **Mailing address:** 4202 SW LEE BLVD BLDG A STE B, LAWTON, OK 73505-8300

## Taxonomy

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

## Other

- **Enumeration date:** 04/09/2025
- **Last updated:** 04/09/2025
