Organization
COMPANION AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA K BENNETT R.N, CHCA (ADMINISTRATOR)
(405) 282-1307
Entity
Organization
Contact information
Practice address
1310 E OKLAHOMA AVE STE B, GUTHRIE, OK 73044-3757
(405) 282-1307
(405) 282-3402
Mailing address
1310 E OKLAHOMA AVE STE B, GUTHRIE, OK 73044-3757
(405) 282-1307
(405) 282-3402
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7980
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7980
STATE LICENSE
OK
Enumeration date
02/08/2012
Last updated
02/08/2012
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