Organization
BAPTIST HEALTHCARE OF OKLAHOMA, LLC
Active
Other names
Integris Home Care Northeast
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT DAVIS (VICE PRESIDENT)
(405) 949-3774
Entity
Organization
Contact information
Practice address
1103 E 13TH ST, SUITE D, GROVE, OK 74344-7928
(918) 786-4461
(918) 787-3645
Mailing address
PO BOX 960399, OKLAHOMA CITY, OK 73196-0399
(918) 786-4461
(918) 787-3645
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7012
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699700E
—
OK
Enumeration date
07/28/2006
Last updated
06/03/2020
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