| NPI | 1841647997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS LACKNER Delegated Official 405-412-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: AR AR5166) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |