Organization
HEALTHBACK OF SOUTHERN OKLAHOMA, INC.
Active
Other names
HealthBack of Idabel
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. CURTIS (CFO)
(405) 842-1700
Entity
Organization
Contact information
Practice address
900 SE WASHINGTON ST, IDABEL, OK 74745-3334
(580) 286-6541
(580) 286-7976
Mailing address
16211 N MAY AVE, EDMOND, OK 73013-8871
(405) 842-1700
(405) 767-1695
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7752
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200022630A
—
OK
Enumeration date
04/06/2006
Last updated
04/17/2015
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