Organization
INTERIM HEALTHCARE OF OKLAHOMA CITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S JOHNSON (CEO)
(405) 848-3555
Entity
Organization
Contact information
Practice address
3613 NW 56TH ST STE 385, OKLAHOMA CITY, OK 73112-4531
(405) 848-3555
(405) 842-4629
Mailing address
3613 NW 56TH ST STE 385, OKLAHOMA CITY, OK 73112-4531
(405) 848-3555
(405) 842-4629
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
377658
OK
251G00000X
Community Based Hospice Care Agency
371635
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262720A
—
OK
05
—
100262720D
—
OK
Enumeration date
03/23/2006
Last updated
04/28/2023
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