Victory Hospice, Inc.

NPI 1154309839 - Hospice Care, Community Based - 251G00000X

NPI Details
NPI 1154309839
Enumeration Date 01/04/2006
Last Updated 06/17/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KIM KIM
Position ADMINISTRATOR
Phone (580) 371-2002
Fax (580) 371-2058
Practice Location
750 E MAIN ST
TISHOMINGO OK, 73460-2350, US
Phone (580) 371-2002
Fax (580) 371-2058
Business Location
714 E MAIN ST
TISHOMINGO OK, 73460-2350, US
Phone (580) 371-2002
Fax (580) 371-2058
Toxanomy
Taxonomy Code 251G00000X
License State Oklahoma
License Number 4099
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According to our database, Victory Hospice, Inc. NPI is 1154309839, taxonomy code is 251G00000X and license number is 4099, license state is located at Oklahoma. Victory Hospice, Inc. physically located at 750 E Main St, Tishomingo OK, 73460-2350. NPI Number 1033115704 has the healthcare provider type.

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1154309839 NPI number is provided on an as is basis without warranty of any kind. 1154309839 is maintained by the National Plan & Provider Enumeration System. The contents of Victory Hospice, Inc. are for informational purposes only.