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37D0979019 CLIA NUMBER - ENHABIT HOME HEALTH OF SOUTHEAST OKLAHOMA HEALTH CARE INNOVATIONS OF OKLAHOMA, LLC

Laboratory Demographics

CLIA Number: 37D0979019

Facility Name: ENHABIT HOME HEALTH OF SOUTHEAST OKLAHOMA HEALTH CARE INNOVATIONS OF OKLAHOMA, LLC

Facility Address:
301 E JACKSON STREET, SUITE A
HUGO, OK
ZIP 74743
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Facility Phone Number: 580 326-9558

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1588644843

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 37D0979019
LAB Type Home Health Agency
Facility Name ENHABIT HOME HEALTH OF SOUTHEAST OKLAHOMA HEALTH CARE INNOVATIONS OF OKLAHOMA, LLC
Street 301 E JACKSON STREET, SUITE A
City HUGO
State OK
ZIP 74743
Phone 580 326-9558
CertificateType 4
CertificateEffectiveDate 10/11/2022
CertificateExpirationDate 10/10/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024