Organization
MIDWEST HMA HOME HEALTH, LLC
Active
Other names
Midwest Regional Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE J HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
1117 S DOUGLAS BLVD, SUITES A & B, MIDWEST CITY, OK 73130-5262
(405) 736-6925
(405) 736-0719
Mailing address
1117 S DOUGLAS BLVD, SUITES A & B, MIDWEST CITY, OK 73130-5262
(405) 736-6925
(405) 736-0719
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7200
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200027820A
—
OK
Enumeration date
05/04/2006
Last updated
08/05/2015
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