Organization
EMERALD FIRST CHOICE HOSPICE LLC
Active
Other names
Emerald Hospice II
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WILKEY (DIRECTOR OF OPERATIONS)
(918) 485-0079
Entity
Organization
Contact information
Practice address
120 S YORKSHIRE BLVD, WAGONER, OK 74467
(918) 485-0079
(918) 485-0017
Mailing address
120 S YORKSHIRE BLVD, WAGONER, OK 74467-4861
(918) 485-0079
(918) 485-0017
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200537500A
—
OK
Enumeration date
08/02/2010
Last updated
02/02/2023
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