| NPI | 1952525784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED HALL Executive Director 870-612-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR mg01287) |
| Additional Taxonomies | 251E00000X Home Health (Licence: AR AR3459) |
| 310400000X Assisted Living Facility (Licence: AR 06-014) | |
| 251B00000X Case Management (Licence: AR AR3459) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2014-08-05 |