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Organization

PETERS AGENCY HOME CARE LLC

Active
Parent organization
PETERS AGENCY HOME CARE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PETERS AGENCY HOME CARE LLC
Authorized official
MS. TRUDY A PETERS RN CCM (CEO)
(918) 775-6555
Entity
Organization

Contact information

Practice address
1900 N MACARTHUR BLVD, SUITE 125, OKLAHOMA CITY, OK 73127-2617
(405) 601-9605
(405) 601-9606
Mailing address
1900 N MACARTHUR BLVD, SUITE 125, OKLAHOMA CITY, OK 73127-2617
(405) 601-9605
(405) 601-9606

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7891
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100685560A
OK
Enumeration date
07/18/2008
Last updated
07/28/2008
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