Organization
MAYES COUNTY HMA HOME HEALTH, LLC
Active
Other names
Alliance Oklahoma Home Health Northeast
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (SECRETARY/TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
235 WOODLAWN AVE, TAHLEQUAH, OK 74464-3317
(918) 824-7744
(918) 824-6319
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7232
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700040D
—
OK
Enumeration date
07/26/2006
Last updated
05/21/2020
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