NPI 1083619969

Lifeline Hospice, INC.

Organisation Community Based Hospice Care Agency Chickasha, OK

Practice location

Address: 2210 S 16th St, Chickasha, OK 73018-6432
Phone: (405) 222-2051
Fax: (405) 222-2151
Mailing address: PO Box 1348, Chickasha, OK 73023-1348

Authorised official

Name: Kelly D Jeanis
Title: Administrator
Phone: (405) 224-4891

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X Licence 4150 (OK)

Other Hospice Care, Community Based providers in Oklahoma →

Registry record

NPI: 1083619969
Entity type: Organization
NPI issued: 16 Jun 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.