Organization
SOLID ROCK HOME CARE ASSISTANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARQUETTA ANNETTE KEITH (OWNER)
(405) 819-6198
Entity
Organization
Contact information
Practice address
6408 GALAXIE DR., OKLAHOMA CITY, OK 73132
(405) 819-6198
Mailing address
PO BOX 22104, OKLAHOMA CITY, OK 73123
(405) 819-6198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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