Organization
NORTHWEST HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEHDINGA NUKUNA (CEO)
(405) 604-0373
Entity
Organization
Contact information
Practice address
5400 NW 23RD ST, STE 206, OKLAHOMA CITY, OK 73127-2367
(405) 604-0373
(405) 604-0383
Mailing address
5400 NW 23RD ST, STE 206, OKLAHOMA CITY, OK 73127-2367
(405) 604-0373
(405) 604-0383
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7729
OK
Other
Enumeration date
09/09/2011
Last updated
03/30/2012
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