Provider Demographics
NPI:1740612761
Name:FAMILY CHOICE HOSPICE LLC
Entity Type:Organization
Organization Name:FAMILY CHOICE HOSPICE LLC
Other - Org Name:COMPLETE HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LOLA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:918-681-4988
Mailing Address - Street 1:3109 AZALEA PARK DR
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-2284
Mailing Address - Country:US
Mailing Address - Phone:918-933-5093
Mailing Address - Fax:918-681-4995
Practice Address - Street 1:3109 AZALEA PARK DR
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-2284
Practice Address - Country:US
Practice Address - Phone:918-933-5093
Practice Address - Fax:918-681-4995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-01
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based