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Organization
COUNTRY STYLE HEALTH CARE INC IV
Active
Organization
COUNTRY STYLE HEALTH CARE INC IV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE C BROWNE (VP OF OPERATIONS)
(918) 689-5352
Entity
Organization
Contact information
Practice address
301 S MAIN ST, EUFAULA, OK 74432-3253
(918) 689-5352
(918) 689-9446
Mailing address
301 S MAIN ST, EUFAULA, OK 74432-3253
(918) 689-5352
(918) 689-9446
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC7647
OK
Other
Enumeration date
08/26/2005
Last updated
08/17/2018
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