Organization
A PATH OF CARE HOME HEALTH V, LLC
Active
Other names
A Path of Care Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KELLY (MANAGER MEMBER)
(405) 928-2727
Entity
Organization
Contact information
Practice address
601 HIGHWAY 70 N, KINGSTON, OK 73439-8206
(580) 564-0000
(580) 564-0004
Mailing address
2910 ADAMS RD STE 110, NORMAN, OK 73069-1023
(405) 927-2727
(405) 927-2720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200966320A
—
OK
Enumeration date
08/14/2019
Last updated
11/08/2023
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