Organization
MAGNA HOME HEALTH CARE INC
Active
Other names
MAGNA HOME HEALTH CARE HOSPICE
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD C AGBASI (CEO)
(918) 806-0281
Entity
Organization
Contact information
Practice address
4271 W ALBANY ST, BROKEN ARROW, OK 74012-1233
(918) 806-0282
Mailing address
4271 W ALBANY ST, BROKEN ARROW, OK 74012-1233
(918) 806-0282
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HQ4279
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HQ4279
—
OK
Enumeration date
03/19/2012
Last updated
03/19/2012
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