Organization
A PATH OF CARE HOME HEALTH II, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KELLY (PRESIDENT)
(405) 928-2727
Entity
Organization
Contact information
Practice address
3303 W OKMULGEE ST, MUSKOGEE, OK 74401-5070
(918) 686-5242
(580) 686-5247
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200218160A
—
OK
Enumeration date
04/13/2007
Last updated
04/04/2024
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