Organization
CARTER HEALTHCARE OF SOUTH OKLAHOMA, LLC
Active
Other names
Carter Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN CARTER (AUTHORIZED OFFICIAL/PRESIDENT)
(405) 947-7700
Entity
Organization
Contact information
Practice address
1052 NORTHWEST BLVD, ARDMORE, OK 73401-1533
(580) 226-3166
(580) 226-5901
Mailing address
7725 W RENO AVE STE 332, OKLAHOMA CITY, OK 73127-9799
(405) 947-7700
(405) 947-7300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7777
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100261610D
—
OK
Enumeration date
08/30/2006
Last updated
07/02/2025
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