Provider Demographics
NPI:1598127185
Name:HEALTH WATCH HEALTH CARE OF SW OKLAHOMA, LLC
Entity Type:Organization
Organization Name:HEALTH WATCH HEALTH CARE OF SW OKLAHOMA, LLC
Other - Org Name:SOUTHWESTERN HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:DRENNEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-271-1987
Mailing Address - Street 1:3310 LAMAR AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-5024
Mailing Address - Country:US
Mailing Address - Phone:903-905-4810
Mailing Address - Fax:
Practice Address - Street 1:1908 E GORE BLVD
Practice Address - Street 2:STE. A
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-6128
Practice Address - Country:US
Practice Address - Phone:580-248-7060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-23
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health