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State Of Arkansas
Home Health Agency in Perryville, Arkansas
NPI 1366452419

State Of Arkansas is a Home Health Agency based in Little Rock, AR. State Of Arkansas practices in Perryville, AR. The NPI Number for State Of Arkansas is 1366452419 and holds a License No. AR4011 (Arkansas).

The current practice location address for State Of Arkansas is 1039 N Fouche Ave, Perryville, AR and can be reached out via phone at 501-889-5156 and via fax at 501-889-5484.

Location: 1039 N Fouche Ave, Perryville, AR, 72204-1764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366452419
Provider Name
State Of Arkansas
Credential
Provider Entity Type
Organization
Address
1039 N Fouche Ave, Perryville, AR, 72204-1764
Phone Number
501-889-5156
Fax Number
501-889-5484
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
1039 N Fouche Ave
City
Perryville
State
Arkansas
Zip
72126-8545
Phone Number
501-889-5156
Fax Number
501-889-5484
person
Provider Business Mailing Address Details
Address
1039 N Fouche Ave
City
Perryville
State
Arkansas
Zip
72126-8545
Phone Number
501-889-5156
Fax Number
501-889-5484
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
AR4011 (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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