INDIAN TERRITORY HOME HEALTH AND HOSPICE II

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

377660

Ownership Type:

Proprietary

Date Certified:

08-07-2003

Address:

112 NORTH BROADWAY

City, State, Zip:

WALTERS , OK 73572

County:

COTTON

Country:

Phone:

5808753975

Fax:

General Email:

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