Organization
AHS HENRYETTA HOSPITAL LLC
Active
Other names
Hillcrest Regional Home Health South
Organization subpart
No
Provider details
NPI number
Authorized official
DEE RENSHAW (CEO)
(918) 650-1300
Entity
Organization
Contact information
Practice address
1924 W MAIN ST, HENRYETTA, OK 74437-3849
(918) 652-4463
(918) 652-3675
Mailing address
1924 W MAIN ST, HENRYETTA, OK 74437-3849
(918) 652-4463
(918) 652-3675
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7074
OK
Other
Enumeration date
11/01/2006
Last updated
12/19/2007
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