Firstlight Home Care Nwa

NPI #1154762987 in Rogers, Arkansas

Provider Information

NPI Number
1154762987
Entity Type
Organization
Organization Name
Firstlight Home Care Nwa
Primary Specialty
In Home Supportive Care
Enumeration Date
Jul 9, 2013
Last Updated
Jul 9, 2013

Practice Location

Address
1400 W WALNUT ST
Address 2
SUITE #106
City
Rogers
ZIP Code
72756-3339
Phone
(479) 899-6955

Authorized Official

Name
DR. GANNON RANDOLPH, M.D.
Title
OWNER
Phone
(479) 899-6955

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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