Organization
COUNTRY STYLE HEALTH CARE INC X
Active
Other names
Oklahoma Healthcare Solutions X
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA W EDDINS (PRESIDENT)
(817) 539-2427
Entity
Organization
Contact information
Practice address
1317 N 16TH AVE, DURANT, OK 74701-2134
(580) 931-3055
Mailing address
2301 HIGHWAY 1187 STE 203, MANSFIELD, TX 76063-6139
(817) 539-2427
(817) 549-4150
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC7690
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002627408A
—
OK
Enumeration date
08/09/2005
Last updated
10/25/2024
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