Organization
FREEDOM HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRILL KAYE DEJACIMO (QUALITY ASSURANCE)
(918) 493-4930
Entity
Organization
Contact information
Practice address
6666 S SHERIDAN RD, SUITE 102, TULSA, OK 74133-1756
(918) 493-4930
(918) 346-6400
Mailing address
6666 S SHERIDAN RD, SUITE 102, TULSA, OK 74133-1756
(918) 493-4930
(918) 346-6400
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
371657
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371657
PROVIDER NUMBER
OK
Enumeration date
05/29/2007
Last updated
08/22/2020
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