Organization · Type 2 NPI
State of Arkansas
Community Based Hospice Care Agency · Russellville, AR
NPI number
1720017833
Active
Practice location
404 El Paso, Northwest Regional Office
Russellville, AR 72801-8737
Fax (501) 280-4626
Mailing address
5800 West 10th St, Suite 300
Little Rock, AR 72204-1764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency Primary | 251G00000X | AR3629 (AR) |
Community Based Hospice Care Agency: Definition to come...
Other community based hospice care agency providers in Russellville
About NPI 1720017833
State of Arkansas's National Provider Identifier is 1720017833, issued on Jul 1, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Russellville, AR. The record was last updated on Oct 9, 2012.