| NPI | 1770655888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY JEAN CROCKETT Administrator 918-742-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: OK 4163) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2016-01-11 |