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State Of Arkansas
Community Based Hospice Care Agency in Magnolia, Arkansas
NPI 1417986555

State Of Arkansas is a Community Based Hospice Care Agency based in Little Rock, AR. State Of Arkansas practices in Magnolia, AR. The NPI Number for State Of Arkansas is 1417986555 and holds a License No. AR3636 (Arkansas).

The current practice location address for State Of Arkansas is 207 S Jefferson, Magnolia, AR and can be reached out via phone at 501-661-2698 and via fax at 501-280-4626.

Location: 207 S Jefferson, Magnolia, AR, 72204-1752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417986555
Provider Name
State Of Arkansas
Credential
Provider Entity Type
Organization
Address
207 S Jefferson, Magnolia, AR, 72204-1752
Phone Number
501-661-2698
Fax Number
501-280-4626
Provider Enumeration Date
07/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123489747 05 AR
AR3606 01 AR AR STATE HOPSICE LICENSE
institution
Provider Business Practice Location Address Details
Address
207 S Jefferson
City
Magnolia
State
Arkansas
Zip
71753-3901
Phone Number
501-661-2698
Fax Number
501-280-4626
person
Provider Business Mailing Address Details
Address
207 S Jefferson
City
Magnolia
State
Arkansas
Zip
71753-3901
Phone Number
501-661-2698
Fax Number
501-280-4626
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
AR3636 (Arkansas)
Definition
Definition to come...
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