| Organization Name: | GIRDNER'S PROFESSIONAL HOME HOSPICE, INC. |
| NPI Number: | 1770554065 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE SCOTT HERMAN (PRESIDENT/CEO) |
| Mailing Address: | 103 N Walnut St Sallisaw |
| State: | OK US |
| Postal Code: | 749554438 |
| Phone Number: | 9187759500 |
| Fax Number: | 9187759501 |
| NPI Enumeration Date: | 01/27/2006 |
| NPI Last Update Date: | 08/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 4098 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |