ANGELIC FAMILY HOSPICE LLC; NPI #1023104767

Contact Information

ANGELIC FAMILY HOSPICE LLC

421 N BEARD
SHAWNEE, OK 74801

Phone: 405-275-8300
Fax: 405-275-8300
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for ANGELIC FAMILY HOSPICE LLC

NPI Number 1023104767

LBN Legal business name ANGELIC FAMILY HOSPICE LLC

Authorized official RICHARD KOLB - (OWNER / ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/04/2006

Last updated 11/02/2009 - About 17 years ago

Identifiers

OK	License #	4134
OK	Other	000371591-001	BC&BS PROVIDER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ANGELIC FAMILY HOSPICE LLC

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for ANGELIC FAMILY HOSPICE LLC

Reviews for ANGELIC FAMILY HOSPICE LLC