State of Arkansas

NPI #1366452419 in Perryville, Arkansas

Provider Information

NPI Number
1366452419
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 11, 2008

Practice Location

Address
1039 N FOUCHE AVE
Address 2
PERRY COUNTY HEALTH UNIT
ZIP Code
72126-8545
Phone
(501) 889-5156

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Home Health

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