Organization
A PATH OF CARE HOSPICE IV, LLC
Active
Other names
A Path of Care Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KELLY (MANAGING MEMBER)
(405) 928-2727
Entity
Organization
Contact information
Practice address
6202 NW OAK AVE, LAWTON, OK 73505-4323
(580) 492-6166
(580) 492-6160
Mailing address
2910 ADAMS RD STE 110, NORMAN, OK 73069-1023
(405) 928-2727
(405) 928-2720
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4182
STATE LICENSE
OK
Enumeration date
04/07/2023
Last updated
03/24/2026
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