Organization
PENTATWO LLC
Active
Other names
Apex Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LENN CHARBONEAU (CEO)
(405) 848-3779
Entity
Organization
Contact information
Practice address
8241 S WALKER AVE STE 152, OKLAHOMA CITY, OK 73139-9464
(405) 848-3779
(405) 607-4678
Mailing address
8241 S WALKER AVE STE 152, OKLAHOMA CITY, OK 73139-9464
(405) 848-3779
(405) 607-4678
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4024
OK
251G00000X
Community Based Hospice Care Agency
H4024
OK
Other
Enumeration date
09/08/2006
Last updated
11/07/2019
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