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Organization

IN HOME 2 HEAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANNA BAKER (CO-OWNER/VP CLINICAL OPERATIONS)
(620) 778-5249
Entity
Organization

Contact information

Practice address
56296 E 285 RD STE A, AFTON, OK 74331-8184
(918) 219-9189
Mailing address
56296 E 285 RD STE A, AFTON, OK 74331-8184

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
363AM0700X
Medical Physician Assistant

Other

Enumeration date
01/29/2025
Last updated
05/01/2025
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