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Organization

ALTERNATIVE HOME CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ARTHUR WAYNE HOFFMAN (ADMINISTRATOR/MEMBER)
(918) 647-5719
Entity
Organization

Contact information

Practice address
20775 292ND STREET, POTEAU, OK 74953-0594
(918) 647-5719
(918) 647-0654
Mailing address
P.O. BOX 594, POTEAU, OK 74953-0594
(918) 647-5719
(918) 647-0654

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7840
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200067770
OK
Enumeration date
01/08/2007
Last updated
03/17/2015
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