Organization
EPWORTH AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA L BALLARD (MANAGER)
(405) 767-9033
Entity
Organization
Contact information
Practice address
14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134-6069
(405) 767-9033
(405) 767-9931
Mailing address
14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134-6069
(405) 767-9033
(405) 767-9931
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/19/2014
Last updated
06/26/2017
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