State of Arkansas

NPI #1306856455 in Augusta, Arkansas

Provider Information

NPI Number: 1306856455
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: Sep 12, 2008

Practice Location

Address: 623 NORTH NINTH ST
Address 2: WOODRUFF COUNTY HEALTH UNIT
City: Augusta
State: Arkansas
ZIP Code: 72006-0542
Phone: (870) 347-5915

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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