Organization
HEAVEN AND EARTH HOSPICE LLC
Active
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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