Organization
AT HOME BY CHOICE INC.
Active
Other names
Complete Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
LOLA JANE EDWARDS RN (ADMINISTRATOR)
(405) 879-3470
Entity
Organization
Contact information
Practice address
1232 SW 89TH ST, OKLAHOMA CITY, OK 73139-9105
(405) 879-3470
(405) 879-1625
Mailing address
1232 SW 89TH ST, OKLAHOMA CITY, OK 73139-9105
(405) 879-3470
(405) 879-1625
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7974
STATE LICENSE
OK
Enumeration date
02/25/2014
Last updated
08/16/2024
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