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North Canadian River Healthcare LLC

In Home Supportive Care in Edmond, OK. Organization (NPI-2).

NPI number1780505248
StatusActive
Last updated in NPPESJul 22, 2026

Details

NPI
1780505248
Entity type
Organization (NPI-2)
Legal business name
North Canadian River Healthcare LLC
Organization subpart
No
Enumeration date
Jul 22, 2026
Certification date
Jun 26, 2026
Last updated
Jul 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Other names

  • Griswold Home Care For Edmond & Yukon (Doing Business As)

Practice location

3209 S Broadway Ste 231
Office 237
Edmond, OK 73013-4063

Phone 572-201-0020

Mailing address

3209 S Broadway Ste 231
Edmond, OK 73013-4063

Phone 572-201-0020

Authorized official

Susan Nichols
Director- Home Care Administrator
5722057881

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