Organization · Type 2 NPI

Limited Liability Corporation

Community Based Hospice Care Agency · Oklahoma City, OK

NPI number 1306213293 Active

Practice location

8524 S Western Ave Ste 109
Oklahoma City, OK 73139-9247

Fax (405) 913-1200

Mailing address

17105 Bethel Rd Ste A
Shawnee, OK 74801-2938

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency 251G00000XNone listed
Community Based Hospice Care Agency Primary 251G00000XH04302 (OK)
Point of Service 305S00000XNone listed

Community Based Hospice Care Agency: Definition to come...

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About NPI 1306213293

Limited Liability Corporation's National Provider Identifier is 1306213293, issued on Aug 26, 2015. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 16, 2025.