Organization
COUNTRY STYLE HEALTH CARE, INC. XI
Active
Other names
Oklahoma Healthcare Solutions XI
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE BROWNE (VP OF OPERATIONS)
(918) 465-2626
Entity
Organization
Contact information
Practice address
2313 NORTH MAIN ST, GORE, OK 74435-2024
(918) 489-5519
(918) 489-5530
Mailing address
9160 NW HIGHWAY 2, WILBURTON, OK 74578-5306
(918) 465-2626
(918) 465-0042
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC7956
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC7956
STATE LICENSE
OK
Enumeration date
10/14/2010
Last updated
12/27/2016
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