Organization
IDEAL HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHERRY BOATMAN REGISTERED NURSE (ADMINISTRATOR)
(580) 226-2323
Entity
Organization
Contact information
Practice address
2417 CHICKASAW BLVD, ARDMORE, OK 73401-1466
(580) 226-2323
(580) 226-2326
Mailing address
2417 CHICKASAW BLVD, ARDMORE, OK 73401-1466
(580) 226-2323
(580) 226-2326
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7781
OK
Other
Enumeration date
01/09/2006
Last updated
10/05/2010
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