Organization
PONCA CITY HOMECARE SERVICES INC.
Active
Other names
At Home Medical of Ponca City
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE ROSEWITZ (COO)
(580) 765-8155
Entity
Organization
Contact information
Practice address
1900 N 14TH ST, PONCA CITY, OK 74601-2035
(580) 765-8155
(580) 763-4549
Mailing address
1209 E PROSPECT AVE, PONCA CITY, OK 74601-1746
(580) 765-8155
(580) 763-4549
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
6-5084
OK
Other
Enumeration date
06/07/2006
Last updated
08/22/2020
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