State of Arkansas

NPI #1417986555 in Magnolia, Arkansas

Provider Information

NPI Number
1417986555
Entity Type
Organization
Organization Name
State of Arkansas
Primary Specialty
Hospice Care, Community Based
Enumeration Date
Jul 1, 2006
Last Updated
Oct 9, 2012

Practice Location

Address
207 S JEFFERSON
Address 2
COLUMBIA COUNTY HEALTH UNIT
ZIP Code
71753-3901
Phone
(501) 661-2698

Authorized Official

Name
MS. GAYLA LANUM, R.N.
Title
HOSPICE DIRECTOR
Phone
(501) 661-9628

Specialties & Taxonomy Codes

Specialty
Hospice Care, Community Based

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