Organization
PONCA CITY HOMECARE SERVICES INC
Active
Parent organization
PONCA CITY HOMECARE SERVICES INC
Other names
At Home Medical of Ponca City DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
PONCA CITY HOMECARE SERVICES INC
Authorized official
LAURIE HOLTSFORD (DIRECTOR OF BUSINESS OFFICE SUPPORT)
(615) 465-7466
Entity
Organization
Contact information
Practice address
1209 E PROSPECT AVE, PONCA CITY, OK 74601-1746
(580) 765-8155
(580) 763-4549
Mailing address
1209 E PROSPECT AVE, PONCA CITY, OK 74601-1746
(580) 765-8155
(580) 763-4549
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200083820A
—
OK
Enumeration date
05/27/2006
Last updated
06/21/2010
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