State of Arkansas

NPI #1154342947 in Dewitt, Arkansas

Provider Information

NPI Number
1154342947
Entity Type
Organization
Organization Name
State of Arkansas
Primary Specialty
Home Health
Enumeration Date
Jul 21, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1616 S MADISON ST
Address 2
ARKANSAS COUNTY HEALTH UNIT
City
Dewitt
ZIP Code
72042-3003
Phone
(870) 946-2662

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Home Health

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