Organization
HER IN HOME VISITS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERRY SUE COLBERT RN (OWNER)
(405) 262-7920
Entity
Organization
Contact information
Practice address
800 N REFORMATORY RD, EL RENO, OK 73036-2004
(405) 262-7920
Mailing address
800 N REFORMATORY RD, EL RENO, OK 73036-2004
(405) 262-7920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0044326
OK
251E00000X
Home Health Agency
R0044326
OK
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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