Organization
SHEPHERD HOME HEALTH & HOSPICE, LLC.
Active
Other names
Shepherd Home Health & Hospice, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ALLEN SHEPHERD (CEO)
(580) 323-1580
Entity
Organization
Contact information
Practice address
812 W GARY BLVD, CLINTON, OK 73601-2720
(580) 323-1580
(580) 323-2581
Mailing address
812 W GARY BLVD, CLINTON, OK 73601-2720
(580) 323-1580
(580) 323-2581
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PENDING
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
377702
MEDICARE PROVIDER NUMBER
OK
Enumeration date
07/17/2006
Last updated
01/12/2012
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