Provider Demographics
NPI:1689229692
Name:SEASONS HOSPICE OF MUSKOGEE, INC
Entity Type:Organization
Organization Name:SEASONS HOSPICE OF MUSKOGEE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-492-6440
Mailing Address - Street 1:1903 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-4130
Mailing Address - Country:US
Mailing Address - Phone:918-910-5018
Mailing Address - Fax:
Practice Address - Street 1:1903 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-4130
Practice Address - Country:US
Practice Address - Phone:918-910-5018
Practice Address - Fax:918-910-5038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based