Organization
MED-CORP HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED EZELL (OWNER)
(918) 687-8033
Entity
Organization
Contact information
Practice address
3310 CHANDLER RD, MUSKOGEE, OK 74403-4906
(918) 687-8033
(918) 687-4092
Mailing address
3310 CHANDLER RD, MUSKOGEE, OK 74403-4906
(918) 687-8033
(918) 687-4092
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7255
OK
Other
Enumeration date
08/31/2006
Last updated
11/06/2007
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