Organization
OUTREACH HEALTH SERVICES OF OKLAHOMA, LLC
Active
Parent organization
OUTREACH HEALTH CARE, INC
Other names
Outreach Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUTREACH HEALTH CARE, INC
Authorized official
REBECCA WILLIAMS (CORPORATE LEGAL MANAGER)
(512) 692-7839
Entity
Organization
Contact information
Practice address
1302B SW LEE BLVD, LAWTON, OK 73501-5610
(580) 355-1870
(580) 355-1877
Mailing address
251 RENNER PKWY, RICHARDSON, TX 75080-1316
(512) 692-7839
(972) 792-6739
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OK
251J00000X
Nursing Care Agency
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC8071
OKLAHOMA STATE DEPARTMENT OF HEALTH
OK
Enumeration date
07/25/2014
Last updated
04/24/2020
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