Organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Active
Other names
Integris Home Care Enid
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA WALLACE (ASSISTANT TREASURER)
(636) 359-4890
Entity
Organization
Contact information
Practice address
401 S 3RD ST, ENID, OK 73701-5737
(580) 548-1116
Mailing address
PO BOX 200731, DALLAS, TX 75320-0731
(405) 252-8319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2244
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699500H
—
OK
Enumeration date
07/22/2006
Last updated
08/12/2024
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