Organization Name: | FAITH HOSPICE OF OKLAHOMA, INC. |
NPI Number: | 1144283839 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TROY L. AYERS (PRESIDENT) |
Mailing Address: | 16217 N May Ave Edmond |
State: | OK US |
Postal Code: | 730138871 |
Phone Number: | 4058408915 |
Fax Number: | 4058408921 |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 03/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 4172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |