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Hospice Center Of Southeastern Oklahoma, INC

Hospice Care, Community Based in Idabel, OK. Organization (NPI-2).

NPI number1790776086
StatusActive
Last updated in NPPESAug 9, 2007

Details

NPI
1790776086
Entity type
Organization (NPI-2)
Legal business name
Hospice Center Of Southeastern Oklahoma, INC
Organization subpart
No
Enumeration date
Nov 4, 2005
Last updated
Aug 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251G00000X Hospice Care, Community Based4210OKYes

Practice location

1100 Ne Lincoln Rd
Idabel, OK 74745-2412

Phone 580-208-2273 · Fax 580-286-2226

Mailing address

Po Box 1018
Durant, OK 74702-1018

Phone 580-920-0600 · Fax 580-920-0610

Authorized official

John Wyatt
Cfo
5809200600

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