Organization
AT HOME CARE, INC
Active
Other names
AHC,INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE O DAVIS CLINICIAN (ADMINISTRATOR)
(405) 843-2333
Entity
Organization
Contact information
Practice address
1901 N CLASSEN BLVD STE 108, OKLAHOMA CITY, OK 73106-6011
(405) 843-2333
(405) 843-2344
Mailing address
PO BOX 5961, EDMOND, OK 73083-5961
(405) 843-2333
(405) 843-2344
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
CSS0009
OK
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSS0009
HOME CARE -LICENSED HOME MAKER/SITTER COMPANION CARE
OK
Enumeration date
10/04/2009
Last updated
12/23/2014
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