# FORT SMITH HMA HOME HEALTH, LLC

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

## Provider details

- **NPI number:** 1710026299
- **Authorized official:** MS. LAURIE J HOLTSFORD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** 61546574566

## Contact information

- **Practice address:** 307B E RAY FINE BLVD, ROLAND, OK 74954-5160
- **Practice address phone:** (918) 427-9773
- **Practice address fax:** (918) 427-6021
- **Mailing address:** 307B E RAY FINE BLVD, ROLAND, OK 74954-5160
- **Mailing address phone:** (918) 427-9773
- **Mailing address fax:** (918) 427-6021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 7115 | OK | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 11/18/2014
