Organization
ALLY HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENNA SHOTTS (OWNER)
(405) 574-4321
Entity
Organization
Contact information
Practice address
103 NORTH HERMANN AVE., BINGER, OK 73009-0000
(405) 656-2203
(855) 696-3030
Mailing address
PO BOX R, BINGER, OK 73009-0179
(405) 656-2203
(855) 696-3030
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC8020
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200550780A
—
OK
Enumeration date
07/30/2013
Last updated
04/19/2023
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