Organization
FORT SMITH HMA HOME HEALTH, LLC
Active
Other names
Sparks Health System Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE J HOLTSFORD (AUTHORIZED OFFICIAL)
61546574566
Entity
Organization
Contact information
Practice address
307B E RAY FINE BLVD, ROLAND, OK 74954-5160
(918) 427-9773
(918) 427-6021
Mailing address
307B E RAY FINE BLVD, ROLAND, OK 74954-5160
(918) 427-9773
(918) 427-6021
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7115
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100698680C
—
OK
Enumeration date
02/05/2007
Last updated
11/18/2014
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