Organization
FOGAM HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS FOGAM (PRESIDENT)
(405) 942-0296
Entity
Organization
Contact information
Practice address
500 N MERIDIAN AVE, SUITE 108-A, OKLAHOMA CITY, OK 73107-5700
(405) 942-0296
(405) 942-0297
Mailing address
500 N MERIDIAN AVE STE 305, OKLAHOMA CITY, OK 73107-5769
(405) 942-0296
(405) 942-0297
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
03/28/2018
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