Organization
AMEDISYS QUALITY OKLAHOMA, L.L.C.
Active
Other names
Amedisys Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BORNE (CEO)
(225) 292-2031
Entity
Organization
Contact information
Practice address
1909 S MUSKOGEE AVE, SUITE 900, TAHLEQUAH, OK 74464-5543
(918) 207-0108
(918) 458-1749
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 292-2031
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7020
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100261090A
—
OK
Enumeration date
05/05/2006
Last updated
07/12/2012
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