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Organization

LOCAL HOSPICE, INC.

Active
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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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