Organization
ANGELS OF MERCY HOME HEALTH CARE, INC.
Active
Other names
Advanced HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA J MERIDA (OWNER)
(580) 772-1003
Entity
Organization
Contact information
Practice address
914 E HIGHLAND AVE, PONCA CITY, OK 74601-4617
(580) 765-9241
(580) 765-5871
Mailing address
PO BOX 461, WEATHERFORD, OK 73096-0461
(580) 772-1003
(580) 772-0298
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC7359
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100261920B
—
OK
01
—
HC7359
STATE LICENSE NUMBER
OK
Enumeration date
06/27/2005
Last updated
08/31/2010
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