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Organization

OMH HOME HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHARON RIKER (DIRECTOR/IT)
(918) 756-4233
Entity
Organization

Contact information

Practice address
1401 MORRIS DRIVE, OKMULGEE, OK 74447-6429
(918) 756-4233
(918) 756-5968
Mailing address
PO BOX 1038, OKMULGEE, OK 74447-1038
(918) 756-4233
(918) 756-5968

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7077
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000377094-001
BLUE CROSS
OK
01
000377094001
BLUE CROSS
OK
05
100700360E
OK
05
106260940A
OK
Enumeration date
08/12/2005
Last updated
12/07/2012
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