Organization
PROMISECARE HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM GHOSN (ADMINISTRATOR)
(580) 248-1405
Entity
Organization
Contact information
Practice address
6302 SW LEE BLVD, LAWTON, OK 73505-9103
(580) 248-1405
(580) 248-8996
Mailing address
6302 SW LEE BLVD, LAWTON, OK 73505-9103
(580) 248-1405
(580) 248-8996
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4219
OK
Other
Enumeration date
08/16/2006
Last updated
07/31/2020
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