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State Of Arkansas
Home Health Agency in Russellville, Arkansas
NPI 1184634230

State Of Arkansas is a Home Health Agency based in Little Rock, AR. State Of Arkansas practices in Russellville, AR. The NPI Number for State Of Arkansas is 1184634230 and holds a License No. AR4016 (Arkansas).

The current practice location address for State Of Arkansas is 1509 East Main Street Suite 6, Russellville, AR and can be reached out via phone at 479-890-4834 and via fax at 479-968-8738.

Location: 1509 East Main Street Suite 6, Russellville, AR, 72204-1764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184634230
Provider Name
State Of Arkansas
Credential
Provider Entity Type
Organization
Address
1509 East Main Street Suite 6, Russellville, AR, 72204-1764
Phone Number
479-890-4834
Fax Number
479-968-8738
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104312514 05 AR
institution
Provider Business Practice Location Address Details
Address
1509 East Main Street Suite 6
City
Russellville
State
Arkansas
Zip
72802-9405
Phone Number
479-890-4834
Fax Number
479-968-8738
person
Provider Business Mailing Address Details
Address
1509 East Main Street Suite 6
City
Russellville
State
Arkansas
Zip
72802-9405
Phone Number
479-890-4834
Fax Number
479-968-8738
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
AR4016 (Arkansas)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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