Organization
GENESIS HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATINA CHARLENE MINNEY RN (ADMINISTRATOR)
(918) 387-2233
Entity
Organization
Contact information
Practice address
110 N D ST, YALE, OK 74085-3554
(918) 387-2233
(888) 851-6045
Mailing address
110 N D ST, PO BOX 66, YALE, OK 74085-3554
(918) 387-2233
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1376831396
OK
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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