Organization
HOMETOWN SPECIAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY J COFFMAN SR. (PRESIDENT)
(405) 706-4988
Entity
Organization
Contact information
Practice address
1000 W WILSHIRE BLVD, STE 351, OKLAHOMA CITY, OK 73116-7030
(405) 418-2972
Mailing address
1000 W WILSHIRE BLVD, STE 351, OKLAHOMA CITY, OK 73116-7030
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7944
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7944
LICENSE NUMBER
OK
Enumeration date
05/13/2010
Last updated
05/13/2010
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