Most Relevant Information
Provider Data
| NPI Number: | 1003282401 |
| Provider Name: | ANGEL NOVOTNY |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2015 |
| Last Updated: | 08/19/2015 |
Provider Practice Location
127 N 3RD AVE
DURANT
OK
747014700
Practice Location Phone/Fax
| Phone: | 5807459535 |
| Fax: | 5807459891 |
Provider Mailing Location
2600 W BROADWAY AVE
SUITE 2
SULPHUR
OK
730866509
Provider Mailing Phone/Fax
| Phone: | 5806222783 |
| Fax: | 5806225038 |