Organization
TALLGRASS HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMONA KAYE ESTES RN (CEO)
(918) 647-7829
Entity
Organization
Contact information
Practice address
2329 E CHEROKEE AVE STE 1, SALLISAW, OK 74955-5438
(918) 647-7829
(918) 654-3020
Mailing address
26256 CAUGHRON RD, CAMERON, OK 74932-2376
(918) 647-7829
(918) 654-3020
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HOSPICE
HOSPICE
OK
Enumeration date
11/25/2009
Last updated
02/22/2012
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