Organization
FAMILY CHOICE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY DAWN WARNKE LPN (PARTNER)
(580) 225-4140
Entity
Organization
Contact information
Practice address
1925 W 3RD ST, ELK CITY, OK 73644-4303
(580) 225-4140
(580) 225-4102
Mailing address
1925 W 3RD ST, ELK CITY, OK 73644-4303
(580) 225-4140
(580) 225-4102
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7852
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
377719
MEDICARE PROVIDER NUMBER
OK
Enumeration date
09/20/2006
Last updated
01/22/2013
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