Organization
OKLAHOMA HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER C NOVEMBER II (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
153 N MAIN ST, FAIRFAX, OK 74637-3022
(918) 642-5383
(918) 642-3531
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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