Organization
OUTREACH HOME SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNIE FROST R.N. (ADMINISTRATOR)
(918) 682-6400
Entity
Organization
Contact information
Practice address
2303 S YORK ST, MUSKOGEE, OK 74403-8876
(918) 682-6400
(918) 682-6402
Mailing address
2303 S YORK ST, MUSKOGEE, OK 74403-8876
(918) 682-6400
(918) 682-6402
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
INITIAL APPLICATION
—
Other
Enumeration date
08/10/2006
Last updated
07/02/2009
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