Organization
SHEPHERD HOME HEALTH & HOSPICE LLC
Active
Other names
Shepherd Home Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ALLEN SHEPHERD BS MT (CEO/ ADMINISTRATOR)
(580) 323-1580
Entity
Organization
Contact information
Practice address
812 W GARY BLVD, CLINTON, OK 73601-2720
(580) 323-1580
(580) 323-2581
Mailing address
812 W GARY BLVD, CLINTON, OK 73601-2720
(580) 323-1580
(580) 323-2581
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200114810A
—
OK
Enumeration date
03/26/2009
Last updated
03/26/2009
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