State of Arkansas

NPI #1548270689 in Fordyce, Arkansas

Provider Information

NPI Number
1548270689
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
May 12, 2008

Practice Location

Address
201 NORTH SPRING STREET
Address 2
DALLAS COUNTY HEALTH UNIT
ZIP Code
71742-3026
Phone
(870) 352-7197

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Home Health

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