State of Arkansas

NPI #1003826058 in Malvern, Arkansas

Provider Information

NPI Number: 1003826058
Entity Type: Organization
Organization Name: State of Arkansas
Subpart: Yes (part of a larger organization)
Parent Organization: STATE OF ARKANSAS
Primary Specialty: Home Health
Enumeration Date: Aug 9, 2006
Last Updated: Aug 13, 2008

Practice Location

Address: 2204 E SULLENBERGER AVE
Address 2: HOT SPRING COUNTY HEALTH UNIT
City: Malvern
State: Arkansas
ZIP Code: 72104-4806
Phone: (501) 332-6974

Authorized Official

Name: MARILYN EVANS, RN
Title: HOME HEALTH ADMINISTRATOR
Phone: (501) 661-2540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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