Organization
LIFELINE HOSPICE, INC.
Active
Organization
LIFELINE HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY D JEANIS RN (ADMINISTRATOR)
(405) 224-4891
Entity
Organization
Contact information
Practice address
2210 S 16TH ST, CHICKASHA, OK 73018-6432
(405) 222-2051
(405) 222-2151
Mailing address
PO BOX 1348, CHICKASHA, OK 73023-1348
(405) 222-2051
(405) 222-2151
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4150
OK
Other
Enumeration date
06/16/2005
Last updated
08/22/2020
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