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Organization

CREATIVE HOME CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REBECCA COFFMAN (PRESIDENT)
(918) 647-8691
Entity
Organization

Contact information

Practice address
2703 N BROADWAY ST, POTEAU, OK 74953-5403
(918) 647-8691
Mailing address
PO BOX 297, POTEAU, OK 74953-0297
(918) 647-8691

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7331
OK

Other

Enumeration date
01/10/2006
Last updated
03/08/2010
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