| NPI | 1083619969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY D JEANIS Administrator 405-224-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: OK 4150) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-08-22 |