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Organization

GENESIS HOME HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATINA CHARLENE MINNEY BSN, RN, CDE, CFCN (CO-OWNER/ADMINISTRATOR)
(918) 387-2233
Entity
Organization

Contact information

Practice address
625 W BROADWAY AVE, YALE, OK 74085-1503
(918) 387-2233
(918) 387-2233
Mailing address
PO BOX 66, YALE, OK 74085-0066
(918) 387-2233
(918) 387-2233

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R 75354 N0021646
OK

Other

Enumeration date
07/11/2011
Last updated
09/11/2024
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