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State Of Arkansas
Community Based Hospice Care Agency in Brinkley, Arkansas
NPI 1811926967

State Of Arkansas is a Community Based Hospice Care Agency based in Little Rock, AR. State Of Arkansas practices in Brinkley, AR. The NPI Number for State Of Arkansas is 1811926967 and holds a License No. 0143 (Arkansas).

The current practice location address for State Of Arkansas is 409 W 4Th St, Brinkley, AR and can be reached out via phone at 501-661-2698 and via fax at 501-280-4626.

Location: 409 W 4Th St, Brinkley, AR, 72204-1752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811926967
Provider Name
State Of Arkansas
Credential
Provider Entity Type
Organization
Address
409 W 4Th St, Brinkley, 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
0413 01 AR AR STATE HOSPICE LICENSE
institution
Provider Business Practice Location Address Details
Address
409 W 4Th St
City
Brinkley
State
Arkansas
Zip
72021-2113
Phone Number
501-661-2698
Fax Number
501-280-4626
person
Provider Business Mailing Address Details
Address
409 W 4Th St
City
Brinkley
State
Arkansas
Zip
72021-2113
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.
0143 (Arkansas)
Definition
Definition to come...
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