Organization
HEAVEN AND EARTH HOSPICE LLC
Active
Other names
ACG Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA DUNCAN (CCO)
(800) 932-2738
Entity
Organization
Contact information
Practice address
1635 S MAIN ST, GROVE, OK 74344-5368
(918) 323-0100
(918) 323-0131
Mailing address
187 N CHURCH ST STE 201, SPARTANBURG, SC 29306-5154
(800) 932-2738
(888) 847-9306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4164
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200108280A
—
OK
01
—
37D2051838
CLIA WAIVER
OK
01
—
4164
STATE LICENSE
OK
Enumeration date
06/08/2011
Last updated
01/29/2024
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