NPI 1619301116
White River Home Health
Practice location
- Address
- 2100 East Washington Street STE D, Idabel, OK 74745
- Phone
- (580) 286-2664
- Fax
- (580) 286-2929
- Mailing address
- PO Box 299, Idabel, OK 74745-0299
Authorised official
- Name
- Christopher W Johnson
- Title
- Managing Member
- Phone
- (662) 322-0506
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1619301116
- Entity type
- Organization
- NPI issued
- 3 Sep 2013
- Record last updated
- 3 Sep 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.