Organization
PHC HOSPICE, LLC
Active
Other names
Providence Hospice Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KEITH BANKS (CEO/OWNER)
(405) 602-3295
Entity
Organization
Contact information
Practice address
2831 NW 59TH ST, OKLAHOMA CITY, OK 73112-7005
(405) 602-3295
Mailing address
2831 NW 59TH ST, OKLAHOMA CITY, OK 73112-7005
(405) 602-3295
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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