Organization
GRACE HOSPICE OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OTIS HOWARD EVERSOLE III (EXECUTIVE DIRECTOR)
(918) 744-7223
Entity
Organization
Contact information
Practice address
6218 S LEWIS AVE, TULSA, OK 74136-1018
(918) 744-7223
(918) 744-5784
Mailing address
PO BOX 33234, TULSA, OK 74153-1234
(918) 744-7223
(918) 744-8310
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4137
OK
Other
Enumeration date
01/29/2007
Last updated
04/01/2019
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