Organization
HOSPICE OF OWASSO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA K KELSO (OWNER)
(918) 274-0333
Entity
Organization
Contact information
Practice address
202 S CEDAR ST, SUITE A, OWASSO, OK 74055-3451
(918) 274-0333
(918) 274-0435
Mailing address
202 S CEDAR ST, SUITE A, OWASSO, OK 74055-3451
(918) 274-0333
(918) 274-0435
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4178
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4178
HOSPICE LICENSE NUMBER
OK
Enumeration date
11/04/2005
Last updated
08/22/2020
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