Organization
AT HOME CARE HOME HEALTH CARE, LLC
Active
Other names
AHC HHC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE O DAVIS GERONTOLOGIST, MS (ADMINISTRATOR/CEO)
(405) 843-2333
Entity
Organization
Contact information
Practice address
1901 N CLASSEN BLVD STE 108, OKLAHOMA CITY, OK 73106-6011
(405) 843-2333
(405) 843-2344
Mailing address
PO BOX 5961, EDMOND, OK 73083-5961
(405) 843-2333
(405) 843-2344
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
HC7947
OK
251C00000X
Developmentally Disabled Services Day Training Agency
HC7947
OK
251E00000X
Home Health Agency
Primary
HC7947
OK
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
HC7947
OK
251K00000X
Public Health or Welfare Agency
HC7947
OK
253Z00000X
In Home Supportive Care Agency
HC7947
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200472800A
—
OK
01
—
HC7947
HOME HEALTH CARE LICESED PROVIDER
OK
Enumeration date
06/11/2010
Last updated
12/18/2014
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