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State Of Arkansas
Community Based Hospice Care Agency in Forrest City, Arkansas
NPI 1962430744

State Of Arkansas is a Community Based Hospice Care Agency based in Little Rock, AR. State Of Arkansas practices in Forrest City, AR. The NPI Number for State Of Arkansas is 1962430744 and holds a License No. 0137 (Arkansas).

The current practice location address for State Of Arkansas is 1501 Dawson Rd, Forrest City, AR and can be reached out via phone at 501-661-2698 and via fax at 501-280-4626.

Location: 1501 Dawson Rd, Forrest City, AR, 72204-1752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962430744
Provider Name
State Of Arkansas
Credential
Provider Entity Type
Organization
Address
1501 Dawson Rd, Forrest City, AR, 72204-1752
Phone Number
501-661-2698
Fax Number
501-280-4626
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0137 01 AR AR STATE HOSPICE LICENSE
123489747 05 AR
institution
Provider Business Practice Location Address Details
Address
1501 Dawson Rd
City
Forrest City
State
Arkansas
Zip
72335-2088
Phone Number
501-661-2698
Fax Number
501-280-4626
person
Provider Business Mailing Address Details
Address
1501 Dawson Rd
City
Forrest City
State
Arkansas
Zip
72335-2088
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.
0137 (Arkansas)
Definition
Definition to come...
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