State of Arkansas

NPI #1962430744 in Forrest City, Arkansas

Provider Information

NPI Number
1962430744
Entity Type
Organization
Organization Name
State of Arkansas
Primary Specialty
Hospice Care, Community Based
Enumeration Date
Jun 29, 2006
Last Updated
Oct 9, 2012

Practice Location

Address
1501 DAWSON RD
ZIP Code
72335-2088
Phone
(501) 661-2698

Authorized Official

Name
MS. GAYLA LANUM, R.N.
Title
HOSPICE DIRECTOR
Phone
(501) 661-2698

Specialties & Taxonomy Codes

Specialty
Hospice Care, Community Based

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