Organization
HEALTHCARE INNOVATIONS OF WESTERN OKLAHOMA LLC
Active
Parent organization
ENHABIT, INC.
Other names
Enhabit Home Health of Western Oklahoma
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENHABIT, INC.
Authorized official
JULIE DIANE JOLLEY (EVP OF HOME HEALTH OPERATIONS)
(214) 239-6500
Entity
Organization
Contact information
Practice address
1405 E MAIN ST, WEATHERFORD, OK 73096-5722
(580) 774-2201
(580) 774-2172
Mailing address
6688 N CENTRAL EXPY, SUITE 1300, DALLAS, TX 75206-3950
(214) 239-6500
(214) 239-6581
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7741
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400522540
MEDICARE PART B
OK
Enumeration date
01/20/2006
Last updated
12/23/2024
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