Organization
ESSENTIALLY GODS HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONTA JONES (OWNER)
(405) 800-8162
Entity
Organization
Contact information
Practice address
12831 STRATFORD DR APT 242, OKLAHOMA CITY, OK 73120-8486
(405) 795-4943
Mailing address
12831 STRATFORD DR APT 242, OKLAHOMA CITY, OK 73120-8486
(405) 800-8162
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442727553
—
OK
Enumeration date
04/20/2021
Last updated
04/20/2021
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