Organization
GOOD SHEPHERD HOSPICE OF MID-AMERICA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON DELESTER (PRESIDENT)
(405) 943-0903
Entity
Organization
Contact information
Practice address
1317 S FOUNTAIN DR, OLATHE, KS 66061-7205
(913) 322-3297
(913) 948-7306
Mailing address
4350 WILL ROGERS PKWY, STE 400, OKLAHOMA CITY, OK 73108-1826
(405) 943-0903
(405) 943-0950
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10404900B
—
KS
Enumeration date
05/14/2010
Last updated
10/02/2024
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