Organization
HCA84 LLC
Active
Other names
Lifestar Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MATT WILLARD ROGERS (MEMBER)
(405) 641-7565
Entity
Organization
Contact information
Practice address
13829 N MAY AVE, OKLAHOMA CITY, OK 73134-5010
(405) 286-0388
(405) 694-4509
Mailing address
13829 N MAY AVE, OKLAHOMA CITY, OK 73134-5010
(405) 286-0388
(405) 694-4509
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/30/2023
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