| Organization Name: | MAYES COUNTY HMA HOME HEALTH LLC |
| NPI Number: | 1386667111 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN CLIFTON (SR VICE PRESIDENT/GENERAL COUNSEL) |
| Mailing Address: | 1025 Ne 1st St Pryor |
| State: | OK US |
| Postal Code: | 743614003 |
| Phone Number: | 9188251600 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 12/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 4035 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |