Van Buren County Aging Program

NPI #1275745044 in Clinton, Arkansas

Provider Information

NPI Number: 1275745044
Entity Type: Organization
Organization Name: Van Buren County Aging Program
Primary Specialty: Private Vehicle
Enumeration Date: May 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 570 YELLOWJACKET LN
City: Clinton
State: Arkansas
ZIP Code: 72031-6769
Phone: (501) 745-2244

Authorized Official

Name: MR. JIMMIE LEON KIRKENDOLL
Title: DIRECTOR
Phone: (501) 745-2244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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