Organization
WHITE RIVER HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER W JOHNSON (MANAGING MEMBER)
(662) 322-0506
Entity
Organization
Contact information
Practice address
2100 EAST WASHINGTON STREET STE D, IDABEL, OK 74745
(580) 286-2664
(580) 286-2929
Mailing address
PO BOX 299, IDABEL, OK 74745-0299
(580) 286-2664
(580) 286-2929
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OK
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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