Patria Healthcare, LLC

Organization Active NPI Community Based Hospice Care Agency · Checotah, OK

NPI 1558514331 · NPPES record last updated Sep 30, 2009

Key facts

NPI
1558514331
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
License
4218 (OK)
Legal business name
PATRIA HEALTHCARE, LLC
Practice address
201 W Okmulgee Ave
Checotah, OK 74426-2413
Phone
(918) 473-0505
Fax
(918) 473-0705
NPI assigned
Oct 24, 2008
Organization subpart
No

Authorized official

Name
Sherry J Crockett, BA, LPN
Title
Administrator
Phone
(918) 633-6229

National Provider Directory

Locations

105 Mimosa Ln
Tahlequah, OK 74464
Phone (918) 431-9939

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 4218 OK Yes

Addresses

Primary practice location

201 W Okmulgee Ave
Checotah, OK 74426-2413

Mailing address

3220 S Peoria Ave Ste 101
Tulsa, OK 74105-2006
Phone (918) 770-4441

Other names

  • Horizon Healthcare Doing business as

Other providers in Checotah, OK

All providers in Checotah, OK · Community Based Hospice Care Agency in Oklahoma

Sources for this page

Verify at the official NPI Registry.