White River Home Health LLC

NPI #1932452497 in Idabel, Oklahoma

Provider Information

NPI Number
1932452497
Entity Type
Organization
Organization Name
White River Home Health LLC
Primary Specialty
Home Health
Enumeration Date
Oct 22, 2012
Last Updated
Oct 22, 2012

Practice Location

Address
2100 SE WASHINGTON ST
City
Idabel
ZIP Code
74745-5449
Phone
(580) 286-2664

Authorized Official

Name
MR. CHRISTOPHER W JOHNSON
Title
MEMBER
Phone
(580) 286-2664

Specialties & Taxonomy Codes

Specialty
Home Health

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