Organization
GOOD SHEPHERD HOSPICE OF SPRINGFIELD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON DELESTER (MANAGER)
(405) 943-0903
Entity
Organization
Contact information
Practice address
3250 S NATIONAL AVE, SPRINGFIELD, MO 65807-7303
(417) 881-9111
(417) 881-9115
Mailing address
4350 WILL ROGERS PKWY, SUITE 400, OKLAHOMA CITY, OK 73108-1826
(800) 687-9808
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720255284
—
MO
Enumeration date
05/14/2008
Last updated
10/02/2024
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