# MAYES COUNTY HMA HOME HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alliance Oklahoma Home Health Northeast
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891718086
- **Authorized official:** NICHOLAS GACHASSIN III (SECRETARY/TREASURER)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 235 WOODLAWN AVE, TAHLEQUAH, OK 74464-3317
- **Practice address phone:** (918) 824-7744
- **Practice address fax:** (918) 824-6319
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 443-4154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 7232 | OK | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 05/21/2020