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1417599788
E & D PRIVATE CARE AGENCY
PROCTOR, AR
NPI
1417599788
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Entity Type
Organization
Authorized Contact
DARRELL L. MACK
Owner
870-514-2218
Organization Subpart ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
E & D PRIVATE CARE AGENCY
3051 WAVERLY RD
PROCTOR, AR 72376
Phone number: 901-262-6043
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Mailing Address
E & D PRIVATE CARE AGENCY
3051 WAVERLY RD
PROCTOR, AR 72376
Phone number: 901-262-6043
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