Organization
A PATH OF CARE HOME HEALTH III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KELLY (PRESIDENT)
(405) 928-2727
Entity
Organization
Contact information
Practice address
4400 GRANT BLVD STE 107, YUKON, OK 73099-0038
(405) 379-2300
(405) 730-8109
Mailing address
2910 ADAMS RD, NORMAN, OK 73069-1023
(405) 928-2727
(405) 928-2720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200701960A
—
OK
Enumeration date
07/11/2013
Last updated
04/04/2024
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