State of Arkansas
NPI #1013938893 in Lake Village, Arkansas
Provider Information
- NPI Number
- 1013938893
- 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
- Jul 21, 2006
- Last Updated
- Jul 2, 2008
Practice Location
- Address
- 608 HIGHWAY 65 82 S
- Address 2
- CHICOT COUNTY HEALTH UNIT
- City
- Lake Village
- State
- Arkansas
- ZIP Code
- 71653-1560
- Phone
- (870) 265-2236
Authorized Official
- Name
- MARILYN EVANS, RN
- Title
- HOME HEALTH ADMINISTRATOR
- Phone
- (501) 661-2540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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