Organization
GRACE HOSPICE OF OKLAHOMA LLC
Active
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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