institution
State Of Arkansas
Community Based Hospice Care Agency in Russellville, Arkansas
NPI 1720017833

State Of Arkansas is a Community Based Hospice Care Agency based in Little Rock, AR. State Of Arkansas practices in Russellville, AR. The NPI Number for State Of Arkansas is 1720017833 and holds a License No. AR3629 (Arkansas).

The current practice location address for State Of Arkansas is 404 El Paso, Russellville, AR and can be reached out via phone at 501-661-2698 and via fax at 501-280-4626. You can also correspond with State Of Arkansas through the mailing address at 5800 WEST 10TH ST, LITTLE ROCK, AR - 72204-1764 (mailing address contact number: 501-661-2698).

Location: 404 El Paso, Russellville, AR, 72204-1764
institution
Provider Profile Details
NPI Number
1720017833
Provider Name
State Of Arkansas
Credential
Provider Entity Type
Organization
Address
404 El Paso, Russellville, AR, 72204-1764
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
AR3629 01 AR AR STATE HOSPICE LICENSE
123489747 05 AR
institution
Provider Business Practice Location Address Details
Address
404 El Paso
City
State
Zip
72801-8737
Phone Number
501-661-2698
Fax Number
501-280-4626
person
Provider Business Mailing Address Details
Address
404 El Paso
City
State
Zip
72801-8737
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
License No.
AR3629 (Arkansas)
Definition
Definition to come...
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