Organization
ETON HOME HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHINYERE N AJALLA RN (ADMINISTRATOR SUPERVISING NURSE)
(918) 459-9645
Entity
Organization
Contact information
Practice address
4706 W URBANA ST, BROKEN ARROW, OK 74012-5997
(918) 459-9645
(918) 459-9647
Mailing address
4706 W URBANA ST, BROKEN ARROW, OK 74012-5997
(918) 459-9645
(918) 459-9647
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7812
OK
Other
Enumeration date
11/07/2006
Last updated
12/12/2011
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