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NPI Code Detail

MEDICARE: HOSPICE QUALITY CARE, INC.

MEDICARE: HOSPICE QUALITY CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency4097OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24097OTHEROKHOSPICE LICENSE NUMBER

General Provider Information

NPI Number : 1013910959
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE QUALITY CARE, INC.
Provider Business Mailing Address
First Line : 921 S SOONER RD
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-2425
Country : US
Telephone Number : 405-619-9100
Fax Number : 405-619-9103
Provider Business Practice Location Address
First Line : 921 S SOONER RD
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-2425
Country : US
Telephone Number : 405-619-9100
Fax Number : 405-619-9103
Authorized Official
Title or Position : OWNER/DIRECTOR
Name : MS. DIANN J. MARR
Credential : RN, CHPN
Telephone Number : 405-619-9100
Provider Enumeration Date : 05/24/2005
Last Update Date : 05/16/2014

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Directions to “HOSPICE QUALITY CARE, INC. ” Practice Location

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