Organization Name: | INFINITY CARE HOSPICE LLC |
NPI Number: | 1255478186 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH LEE BRAZEAL (PRESIDENT CEO) |
Mailing Address: | 6914 S Yorktown Ave Ste 115 Tulsa |
State: | OK US |
Postal Code: | 741363900 |
Phone Number: | 9183920800 |
Fax Number: | 9183920808 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 04/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |