Organization Name: | CLINTON HOME HEALTH & HOSPICE, LLC |
NPI Number: | 1366456535 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURIE J HOLTSFORD (SENIOR DIRECTOR) |
Mailing Address: | 514 Avant Ave Clinton |
State: | OK US |
Postal Code: | 736013436 |
Phone Number: | 5803230277 |
Fax Number: | 5803230821 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 08/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 4103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |