Organization
GOLDEN AGE HOSPICE, INC
Active
Other names
Alleve Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATONYA FAYE ROBINSON LCSW (PRESIDENT/ADMINISTRATOR)
(405) 605-7787
Entity
Organization
Contact information
Practice address
908 S.W. 107TH ST., OKLAHOMA CITY, OK 73170-5244
(405) 605-7787
(405) 605-7789
Mailing address
908 S.W. 107TH ST., OKLAHOMA CITY, OK 73170-5244
(405) 605-7787
(405) 605-7789
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4186
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000371642001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
07/07/2005
Last updated
11/23/2010
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