institution
Autumn Bridge, Llc
Community Based Hospice Care Agency in Oklahoma City, Oklahoma
NPI 1386625622

Autumn Bridge, Llc is a Community Based Hospice Care Agency based in Mooresville, OK. Autumn Bridge, Llc practices in Oklahoma City, OK. The NPI Number for Autumn Bridge, Llc is 1386625622 and holds a License No. 4181 (Oklahoma).

The current practice location address for Autumn Bridge, Llc is 3500 Nw 39Th St, Oklahoma City, OK and can be reached out via phone at 405-440-2440 and via fax at 405-440-2441. You can also correspond with Autumn Bridge, Llc through the mailing address at 655 BRAWLEY SCHOOL RD, MOORESVILLE, NC - 28117-9601 (mailing address contact number: 704-664-2876).

Location: 3500 Nw 39Th St, Oklahoma City, OK, 28117-9601
institution
Provider Profile Details
NPI Number
1386625622
Provider Name
Autumn Bridge, Llc
Credential
Provider Entity Type
Organization
Address
3500 Nw 39Th St, Oklahoma City, OK, 28117-9601
Phone Number
405-440-2440
Fax Number
405-440-2441
Provider Enumeration Date
11/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000371633001 01 OK BC/BS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
3500 Nw 39Th St
City
State
Zip
73112
Phone Number
405-440-2440
Fax Number
405-440-2441
person
Provider Business Mailing Address Details
Address
655 Brawley School Rd
City
State
Zip
28117-9601
Phone Number
704-664-2876
Fax Number
704-664-1306
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
4181 (Oklahoma)
Definition
Definition to come...
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