| NPI | 1316504392 |
|---|---|
| Doing Business As | PROVIDENCE HOSPICE CARE |
| Entity Type | Organization |
| Authorized Contact | BRIAN KEITH BANKS CEO/Owner 405-602-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |