Organization
INNOVATIVE SENIOR CARE HOME HEALTH OF EDMOND LLC
Active
Other names
Assured Home Health of Oklahoma City
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
5600 N MAY AVE, STE 147, OKLAHOMA CITY, OK 73112-3973
(405) 341-4361
(405) 341-4349
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
Other
Enumeration date
07/01/2010
Last updated
07/25/2024
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