Organization
A PATH OF CARE HOME HEALTH I, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KELLY (PRESIDENT)
(405) 928-2727
Entity
Organization
Contact information
Practice address
201 N MONTE VISTA ST, ADA, OK 74820-7213
(580) 622-6680
(580) 622-5637
Mailing address
2910 ADAMS RD, NORMAN, OK 73069-1023
(405) 928-2727
(405) 928-2720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7787
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200050330A
—
OK
Enumeration date
01/25/2007
Last updated
04/04/2024
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