# MIDWEST HMA HOME HEALTH, LLC

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

## Provider details

- **NPI number:** 1982652194
- **Authorized official:** LAURIE J HOLTSFORD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 465-7466

## Contact information

- **Practice address:** 1117 S DOUGLAS BLVD, SUITES A & B, MIDWEST CITY, OK 73130-5262
- **Practice address phone:** (405) 736-6925
- **Practice address fax:** (405) 736-0719
- **Mailing address:** 1117 S DOUGLAS BLVD, SUITES A & B, MIDWEST CITY, OK 73130-5262
- **Mailing address phone:** (405) 736-6925
- **Mailing address fax:** (405) 736-0719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 7200 | OK | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 08/05/2015
