Organization
COMPANION HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA BENNETT RN, CHCA (ADMINISTRATOR)
(405) 293-9000
Entity
Organization
Contact information
Practice address
1310 E OKLAHOMA AVE, GUTHRIE, OK 73044-3757
(405) 282-3402
(405) 282-3421
Mailing address
1310 E OKLAHOMA AVE, GUTHRIE, OK 73044-3757
(405) 293-9000
(405) 293-9001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7790
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000377683001
BLUE CROSS BLUE SHIELD
OK
05
—
200049690 A
—
OK
Enumeration date
05/24/2005
Last updated
12/15/2016
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