Provider Demographics
NPI:1164738605
Name:POLAINA HEALTH CARE
Entity Type:Organization
Organization Name:POLAINA HEALTH CARE
Other - Org Name:POLAINA HOSPICE OF OKLAHOMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PANNA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:580-277-0084
Mailing Address - Street 1:248 WATERFRONT DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-2135
Mailing Address - Country:US
Mailing Address - Phone:580-277-0084
Mailing Address - Fax:405-310-4039
Practice Address - Street 1:248 WATERFRONT DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-2135
Practice Address - Country:US
Practice Address - Phone:580-277-0084
Practice Address - Fax:405-310-4039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-22
Last Update Date:2010-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based