Autumnbridge Southwest LLC
Hospice Care, Community Based in Tulsa, OK. Organization (NPI-2).
NPI number1821079161
StatusActive
Last updated in NPPESOct 13, 2015
Details
- NPI
- 1821079161
- Entity type
- Organization (NPI-2)
- Legal business name
- Autumnbridge Southwest LLC
- Organization subpart
- No
- Enumeration date
- Nov 11, 2005
- Last updated
- Oct 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | 4196 | OK | Yes |
Other names
- Roserock Healthcare (Doing Business As)
Practice location
2642 E 21st StTulsa, OK 74114-1716
Phone 918-236-4866 · Fax 918-236-4867
Mailing address
2642 E 21st StTulsa, OK 74114-1716
Phone 918-236-4866 · Fax 918-236-4867
Authorized official
William Lowery Slaughter
Controller
4056130055
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