| Organization Name: | SHEPHERD HOME HEALTH & HOSPICE LLC |
| NPI Number: | 1649412396 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES ALLEN SHEPHERD (CEO/ ADMINISTRATOR) |
| Mailing Address: | 812 W Gary Blvd Clinton |
| State: | OK US |
| Postal Code: | 736012720 |
| Phone Number: | 5803231580 |
| Fax Number: | 5803232581 |
| NPI Enumeration Date: | 03/26/2009 |
| NPI Last Update Date: | 03/26/2009 |
| 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: | |