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Country Style Health Care, Inc. Xi
Home Health Agency in Gore, Oklahoma
NPI 1255641155

Country Style Health Care, Inc. Xi is a Home Health Agency based in Wilburton, OK. Country Style Health Care, Inc. Xi practices in Gore, OK. The NPI Number for Country Style Health Care, Inc. Xi is 1255641155 and holds a License No. HC7956 (Oklahoma).

The current practice location address for Country Style Health Care, Inc. Xi is 2313 North Main St, Gore, OK and can be reached out via phone at 918-489-5519 and via fax at 918-489-5530.

Location: 2313 North Main St, Gore, OK, 74578-5306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255641155
Provider Name
Country Style Health Care, Inc. Xi
Credential
Provider Entity Type
Organization
Address
2313 North Main St, Gore, OK, 74578-5306
Phone Number
918-489-5519
Fax Number
918-489-5530
Provider Enumeration Date
10/14/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HC7956 01 OK STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2313 North Main St
City
Gore
State
Oklahoma
Zip
74435-2024
Phone Number
918-489-5519
Fax Number
918-489-5530
person
Provider Business Mailing Address Details
Address
2313 North Main St
City
Gore
State
Oklahoma
Zip
74435-2024
Phone Number
918-489-5519
Fax Number
918-489-5530
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
HC7956 (Oklahoma)
Definition
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.
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