Organization
PROVINCIAL HOME CARE
Active
Other names
Community Hospice of Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN L EDWARDS (EXECUTIVE DIRECTOR)
(405) 917-0650
Entity
Organization
Contact information
Practice address
3555 NW 58TH ST, STE. 900, OKLAHOMA CITY, OK 73112-4707
(405) 917-0650
(405) 917-0656
Mailing address
3555 NW 58TH ST, STE. 900, OKLAHOMA CITY, OK 73112-4707
(405) 917-0650
(405) 917-0656
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4158
OK
Other
Enumeration date
10/31/2005
Last updated
08/22/2020
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