Organization
LOCAL HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELINDA L MARTIN (SECRETARY - TREASURER)
(918) 790-2277
Entity
Organization
Contact information
Practice address
100 E. CHOCTAW AVE, SUITE A, SALLISAW, OK 74955-4607
(918) 790-2277
(918) 790-2279
Mailing address
100 E CHOCTAW AVE, SUITE A, SALLISAW, OK 74955-4607
(918) 790-2277
(918) 790-2279
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4242
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200108270A
—
OK
Enumeration date
02/18/2007
Last updated
12/17/2008
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