Organization
TRIAD HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGET LEA WOODRESS RN (CEO/ADMINISTRATOR)
(580) 782-5800
Entity
Organization
Contact information
Practice address
129 N PENNSYLVANIA AVE, MANGUM, OK 73554-4221
(580) 782-5800
(580) 782-5803
Mailing address
129 N PENNSYLVANIA AVE, MANGUM, OK 73554-4221
(580) 782-5800
(580) 782-5803
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC-7955
OK
Other
Enumeration date
09/02/2010
Last updated
10/18/2019
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