Organization
CHOCTAW NATION OF OKLAHOMA-PRINCIPAL CHIEF
Active
Other names
Total Care Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PAUL HARRIS RN (DIRECTOR/ADMINISTRATOR)
(580) 931-3636
Entity
Organization
Contact information
Practice address
702 BRYAN DR, SUITE 200, DURANT, OK 74701-7000
(580) 931-3636
(580) 931-9016
Mailing address
702 BRYAN DR STE 200, DURANT, OK 74701-7000
(580) 931-3636
(580) 931-9016
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HO4228
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37D1043836
CLIA NUMBER
OK
01
—
HO4228
HOSPICE LICENSURE
OK
01
—
SW22676
SUBMITTER ID NUMBER
OK
Enumeration date
04/11/2006
Last updated
01/17/2024
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