Organization
ADVANCED HOMECARE SERVICES, INC.
Active
Other names
Advanced HomeCare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA J MERIDA (OWNER)
(580) 772-1003
Entity
Organization
Contact information
Practice address
207 N LOOMIS RD, WEATHERFORD, OK 73096-3307
(580) 774-2549
(580) 772-0298
Mailing address
PO BOX 446, WEATHERFORD, OK 73096-0446
(580) 772-1003
(580) 772-0298
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC7577
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262490B
—
OK
05
—
100262490C
—
OK
01
—
HC7577
STATE LICENSE NUMBER
OK
Enumeration date
06/27/2005
Last updated
08/17/2010
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