State of Arkansas
NPI #1912014192 in Clarksville, Arkansas
Provider Information
- NPI Number
- 1912014192
- 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 24, 2006
- Last Updated
- Aug 13, 2008
Practice Location
- Address
- # 22 SHERWOOD PLAZA
- Address 2
- JOHNSON COUNTY HEALTH UNIT
- City
- Clarksville
- State
- Arkansas
- ZIP Code
- 72830-4337
- Phone
- (479) 754-2949
Authorized Official
- Name
- MARILYN EVANS, RN
- Title
- HOME HEALTH ADMINISTRATOR
- Phone
- (501) 661-2540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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