Organization
HEARTLAND HOSPICE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
1300 S MERIDIAN AVE, SUITE 105, OKLAHOMA CITY, OK 73108-1759
(405) 579-8565
(405) 579-0192
Mailing address
333 N SUMMIT ST, LICENSURE SUPPORT, TOLEDO, OH 43604-1531
(419) 252-5500
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4185
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200010950F
—
OK
Enumeration date
07/01/2006
Last updated
10/30/2017
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