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37D0985563 CLIA NUMBER - ENHABIT HOME HEALTH OF EASTERN OKLAHOMA CONTINENTAL HOME CARE, LLC

Laboratory Demographics

CLIA Number: 37D0985563

Facility Name: ENHABIT HOME HEALTH OF EASTERN OKLAHOMA CONTINENTAL HOME CARE, LLC

Facility Address:
111 S YORK STREET
MUSKOGEE, OK
ZIP 74403
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Facility Phone Number: 918 682-6202

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1306826698

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 37D0985563
LAB Type Home Health Agency
Facility Name ENHABIT HOME HEALTH OF EASTERN OKLAHOMA CONTINENTAL HOME CARE, LLC
Street 111 S YORK STREET
City MUSKOGEE
State OK
ZIP 74403
Phone 918 682-6202
CertificateType 4
CertificateEffectiveDate 4/23/2023
CertificateExpirationDate 4/22/2025
FacilityType Waiver

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