# FOGAM HOME HEALTH, LLC

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

## Provider details

- **NPI number:** 1730553462
- **Authorized official:** LOUIS FOGAM (PRESIDENT)
- **Authorized official phone:** (405) 942-0296

## Contact information

- **Practice address:** 500 N MERIDIAN AVE, SUITE 108-A, OKLAHOMA CITY, OK 73107-5700
- **Practice address phone:** (405) 942-0296
- **Practice address fax:** (405) 942-0297
- **Mailing address:** 500 N MERIDIAN AVE STE 305, OKLAHOMA CITY, OK 73107-5769
- **Mailing address phone:** (405) 942-0296
- **Mailing address fax:** (405) 942-0297

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2015
- **Last updated:** 03/28/2018