Organization
ROSS HOSPICE OF CHICKASHA LLC
Active
Other names
Elara Caring VI
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA MILLER (VP OF REGULATORY)
(903) 537-8656
Entity
Organization
Contact information
Practice address
721 S GEORGE NIGH EXPY STE 3B, MCALESTER, OK 74501-7437
(405) 224-0012
(405) 224-2974
Mailing address
14295 MIDWAY ROAD, SUITE 400, ADDISON, TX 75001
(800) 234-1866
(903) 537-8420
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4161
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000371617-001
BLUECROSSBLUESHIELD
—
05
—
200059300A
—
OK
05
—
200059300C
—
OK
01
—
75-3098244
HEALTH CHOICE
—
Enumeration date
05/25/2006
Last updated
04/29/2020
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