Organization
GOOD SHEPHERD HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON KYLE DELESTER (PRESIDENT)
(405) 943-0903
Entity
Organization
Contact information
Practice address
1120 NEO LOOP, GROVE, OK 74344
(918) 786-6182
(918) 786-6185
Mailing address
1120 NEO LOOP, GROVE, OK 74344-6046
(918) 786-6182
(918) 786-6185
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4072
OK
Other
Enumeration date
09/01/2006
Last updated
10/02/2024
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