| Organization Name: | HEAVENS GATE HOSPICE INC. |
| NPI Number: | 1922320969 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAMONA KAYE ESTES (CEO) |
| Mailing Address: | 26256 Caughron Rd Cameron |
| State: | OK US |
| Postal Code: | 749322376 |
| Phone Number: | 9186477829 |
| Fax Number: | 9186543020 |
| NPI Enumeration Date: | 02/18/2010 |
| NPI Last Update Date: | 02/18/2010 |
| 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: | |