Organization
COMPLETECARE HOME HEALTH PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S KELLY (MANAGER/CEO)
(405) 928-2727
Entity
Organization
Contact information
Practice address
15951 LITTLE AXE DR, SUITE 1816, NORMAN, OK 73026-9088
(405) 701-7085
(405) 701-7605
Mailing address
2401 TEE CIR, SUITE 207, NORMAN, OK 73069-6207
(405) 928-2727
(405) 928-2720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7127
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100726080D
—
OK
Enumeration date
09/08/2011
Last updated
03/14/2017
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