Organization
LEGACY HOMECARE ASSOCIATES, LLC
Active
Other names
LifeSpring Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN E VAHLBERG RN (CHIEF EXECUTIVE OFFICER)
(405) 329-4545
Entity
Organization
Contact information
Practice address
106 N CEDAR ST, PAULS VALLEY, OK 73075-2805
(405) 207-9496
(405) 207-9701
Mailing address
2411 SPRINGER DR, NORMAN, OK 73069-3955
(405) 329-4545
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
377757
MEDICARE PTAN
OK
Enumeration date
03/24/2011
Last updated
05/20/2016
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