Provider Demographics
NPI:1245027051
Name:ANTHEM HOSPICE OF OKLAHOMA CITY II LLC
Entity type:Organization
Organization Name:ANTHEM HOSPICE OF OKLAHOMA CITY II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:LAFLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:602-677-1471
Mailing Address - Street 1:425 W WILSHIRE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7793
Mailing Address - Country:US
Mailing Address - Phone:405-463-1766
Mailing Address - Fax:405-724-6491
Practice Address - Street 1:425 W WILSHIRE BLVD STE D
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-7793
Practice Address - Country:US
Practice Address - Phone:405-463-1766
Practice Address - Fax:405-724-6491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based