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37D2077878 CLIA NUMBER - A PATH OF CARE TENDERCARE HOME HEALTH A PATH OF CARE HOME HEALTH IV, LLC

Laboratory Demographics

CLIA Number: 37D2077878

Facility Name: A PATH OF CARE TENDERCARE HOME HEALTH A PATH OF CARE HOME HEALTH IV, LLC

Facility Address:
1 N ARNO STREET, SUITE A
COALGATE, OK
ZIP 74538
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Facility Phone Number: 580 927-2600

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1881138857

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 37D2077878
LAB Type Home Health Agency
Facility Name A PATH OF CARE TENDERCARE HOME HEALTH A PATH OF CARE HOME HEALTH IV, LLC
Street 1 N ARNO STREET, SUITE A
City COALGATE
State OK
ZIP 74538
Phone 580 927-2600
CertificateType 4
CertificateEffectiveDate 5/16/2024
CertificateExpirationDate 5/15/2026
FacilityType Waiver

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