institution
Choctaw Nation Of Oklahoma-principal Chief
Community Based Hospice Care Agency in Durant, Oklahoma
NPI 1316900095

Choctaw Nation Of Oklahoma-principal Chief is a Community Based Hospice Care Agency based in Durant, OK. Choctaw Nation Of Oklahoma-principal Chief practices in Durant, OK. The NPI Number for Choctaw Nation Of Oklahoma-principal Chief is 1316900095 and holds a License No. HO4228 (Oklahoma).

The current practice location address for Choctaw Nation Of Oklahoma-principal Chief is 702 Bryan Dr, Durant, OK and can be reached out via phone at 580-931-3636 and via fax at 580-931-9016.

Location: 702 Bryan Dr, Durant, OK, 74701-7000
institution
Provider Profile Details
NPI Number
1316900095
Provider Name
Choctaw Nation Of Oklahoma-principal Chief
Credential
Provider Entity Type
Organization
Address
702 Bryan Dr, Durant, OK, 74701-7000
Phone Number
580-931-3636
Fax Number
580-931-9016
Provider Enumeration Date
04/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HO4228 01 OK HOSPICE LICENSURE
SW22676 01 OK SUBMITTER ID NUMBER
37D1043836 01 OK CLIA NUMBER
institution
Provider Business Practice Location Address Details
Address
702 Bryan Dr
City
State
Zip
74701-7000
Phone Number
580-931-3636
Fax Number
580-931-9016
person
Provider Business Mailing Address Details
Address
702 Bryan Dr
City
State
Zip
74701-7000
Phone Number
580-931-3636
Fax Number
580-931-9016
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
HO4228 (Oklahoma)
Definition
Definition to come...
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