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State Of Arkansas
Home Health Agency in Wynne, Arkansas
NPI 1255341392

State Of Arkansas is a Home Health Agency based in Little Rock, AR. State Of Arkansas practices in Wynne, AR. The NPI Number for State Of Arkansas is 1255341392 and holds a License No. AR4034 (Arkansas).

The current practice location address for State Of Arkansas is 704 Canal Street, Wynne, AR and can be reached out via phone at 870-238-2101 and via fax at 870-238-4569.

Location: 704 Canal Street, Wynne, AR, 72204-1764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255341392
Provider Name
State Of Arkansas
Credential
Provider Entity Type
Organization
Address
704 Canal Street, Wynne, AR, 72204-1764
Phone Number
870-238-2101
Fax Number
870-238-4569
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
704 Canal Street
City
Wynne
State
Arkansas
Zip
72396-3042
Phone Number
870-238-2101
Fax Number
870-238-4569
person
Provider Business Mailing Address Details
Address
704 Canal Street
City
Wynne
State
Arkansas
Zip
72396-3042
Phone Number
870-238-2101
Fax Number
870-238-4569
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
AR4034 (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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