State of Arkansas

NPI #1477563526 in Mena, Arkansas

Provider Information

NPI Number
1477563526
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
702 HORNBECK
Address 2
POLK COUNTY HEALTH UNIT
City
Mena
ZIP Code
71953-4422
Phone
(479) 394-2707

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Home Health

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