Provider Demographics
NPI:1922494814
Name:FC HOSPICE CORP
Entity Type:Organization
Organization Name:FC HOSPICE CORP
Other - Org Name:FIRST CHOICE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:918-485-0079
Mailing Address - Street 1:1014 E DEWEY AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74066-4519
Mailing Address - Country:US
Mailing Address - Phone:918-512-8388
Mailing Address - Fax:918-512-8460
Practice Address - Street 1:1014 E DEWEY AVE
Practice Address - Street 2:SUITE D
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-4519
Practice Address - Country:US
Practice Address - Phone:918-512-8388
Practice Address - Fax:918-512-8460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based