Organization
DURANT HMA HOME HEALTH, LLC
Active
Other names
Medical Center of Southeastern Oklahoma Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE J HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
1400 BRYAN DR, STE 211, DURANT, OK 74701-2156
(580) 920-8040
(580) 920-8095
Mailing address
1400 BRYAN DR, STE 211, DURANT, OK 74701-2156
(580) 920-8040
(580) 920-8095
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7117
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000377078001
OK BC HOME HEALTH
OK
05
—
100696610A
—
OK
Enumeration date
05/28/2006
Last updated
07/17/2014
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