Organization
CHOICE HOSPICE, INC
Active
Other names
Complete Hospice Care
Organization subpart
No
Provider details
NPI number
Authorized official
LOLA JANE EDWARDS RN (ADMINISTRATOR)
(405) 879-3470
Entity
Organization
Contact information
Practice address
1232 SW 89TH ST STE C, OKLAHOMA CITY, OK 73139-9110
(405) 879-3470
(405) 879-1625
Mailing address
1232 SW 89TH ST STE C, OKLAHOMA CITY, OK 73139-9110
(405) 879-3470
(405) 879-1625
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4202
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000371654001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
09/26/2006
Last updated
06/23/2023
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