Organization
FHM HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH RYAN ORTON (OWNER)
(405) 376-6119
Entity
Organization
Contact information
Practice address
1100 N MUSTANG RD, SUITE F, MUSTANG, OK 73064-7201
(405) 376-6119
(405) 376-6117
Mailing address
1100 N MUSTANG RD, SUITE F, MUSTANG, OK 73064-7201
(405) 376-6119
(405) 376-6117
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7943
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7943
HOME HEALTH
OK
Enumeration date
05/26/2011
Last updated
05/26/2011
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