Organization
EPWORTH AT HOME LLC
Active
Organization
EPWORTH AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON V KELLY CEO/PRESIDENT (MANAGER)
(405) 752-1200
Entity
Organization
Contact information
Practice address
14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134
(405) 767-9033
(405) 767-9931
Mailing address
14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134-6069
(405) 767-9033
(405) 767-9931
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/24/2014
Last updated
06/29/2018
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