Organization
CREATIVE HOME HOSPICE INC.
Active
Parent organization
PROFESSIONAL CONSULTANT SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL CONSULTANT SERVICES, INC
Authorized official
MISS REBECCA COFFMAN (PRESIDENT)
(918) 647-8009
Entity
Organization
Contact information
Practice address
2703 N BROADWAY ST, POTEAU, OK 74953-5403
(918) 647-8009
(918) 647-7041
Mailing address
PO BOX 297, POTEAU, OK 74953-0297
(918) 647-8009
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4143
OK
Other
Enumeration date
01/11/2006
Last updated
12/10/2007
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