Organization Name: | PEACE HOMECARE, LLC. |
NPI Number: | 1003204751 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULETTA LINDA HARRELL (ADMINISTRATOR/OWNER) |
Mailing Address: | 202 N. University Blvd. Peace Homecare, Llc. Norman |
State: | OK US |
Postal Code: | 73069 |
Phone Number: | 4057015951 |
Fax Number: | 4057015953 |
NPI Enumeration Date: | 01/05/2015 |
NPI Last Update Date: | 01/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HC8024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |