Organization
HEALTHBACK OF CENTRAL OKLAHOMA, INC.
Active
Other names
HealthBack Home Health of Ponca City
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTY W. EVANS (CEO)
(405) 842-1700
Entity
Organization
Contact information
Practice address
111 PATTON DR, SUITE A, PONCA CITY, OK 74601-2046
(580) 762-5800
(580) 762-5804
Mailing address
16211 N MAY AVE, EDMOND, OK 73013-8871
(405) 842-1700
(405) 767-1695
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095690A
—
OK
Enumeration date
07/11/2008
Last updated
03/23/2015
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