| NPI | 1386883361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J. COFFMAN Administrator 405-456-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: OK 4212) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2024-12-16 |