Organization
OSAGE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL GANTER (ADMINISTRATOR)
(405) 418-2991
Entity
Organization
Contact information
Practice address
1449 W MAIN ST, PAWHUSKA, OK 74056-5907
(918) 287-5645
(918) 287-5572
Mailing address
1449 W MAIN ST, PAWHUSKA, OK 74056-5907
(918) 287-5645
(918) 287-5572
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7339
OK
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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