State of Arkansas

NPI #1578603643 in Walnut Ridge, Arkansas

Provider Information

NPI Number
1578603643
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
Feb 7, 2007
Last Updated
Aug 13, 2008

Practice Location

Address
1050 W FREE ST
Address 2
LAWRENCE COUNTY HEALTH UNIT
ZIP Code
72476-1752
Phone
(870) 866-7544

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Home Health

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