| Organization Name: | CARTER HEALTHCARE HOSPICE OF NORTHWEST OKLAHOMA, LLC |
| NPI Number: | 1639286032 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STANLEY F. CARTER (ADMINISTRATOR/OWNER) |
| Mailing Address: | 3081 Se Washington Blvd Bartlesville |
| State: | OK US |
| Postal Code: | 740067629 |
| Phone Number: | 9183331400 |
| Fax Number: | 9183331403 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 01/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 4191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |