Organization
WHITE RIVER HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER W JOHNSON (MEMBER)
(580) 286-2664
Entity
Organization
Contact information
Practice address
2100 SE WASHINGTON ST, IDABEL, OK 74745-5449
(580) 286-2664
(580) 286-2929
Mailing address
2100 SE WASHINGTON ST, PO BOX 299, IDABEL, OK 74745-5449
(580) 286-2664
(580) 286-2929
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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