Organization
HOMETOWN QUALITY CARE, INC. I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY J. COFFMAN SR. RN (PRESIDENT)
(405) 456-6902
Entity
Organization
Contact information
Practice address
1100 NE LINCOLN RD, SUITE D, IDABEL, OK 74745-2412
(580) 208-2273
Mailing address
1100 NE LINCOLN RD, SUITE D, IDABEL, OK 74745-2412
(580) 208-2273
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC7965
OK
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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