State Of Arkansas in Little Rock - Hospice Care, Community Based
State Of Arkansas - NPI 1417986555
State Of Arkansas is a Hospice Care, Community Based in Little Rock, Arkansas. State Of Arkansas practices all healthcare services and medical treatments related to Hospice Care, Community Based. The NPI Number for State Of Arkansas is 1417986555. The last update date is 2012-10-09.
State Of Arkansas's current location address is 5800 W 10th St, Little Rock, Arkansas. You can contact this provider via phone number 5016612698 and fax number 5012804626. The mailing address for State Of Arkansas is 5800 W 10th St, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | State Of Arkansas |
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Address | 5800 W 10th St, Little Rock, Arkansas |
Phone Number | 5016612698 |
Fax Number | 5012804626 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | HOSPICE DI |
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Authorized Official Name | Lanum Gayla |
Credentials | R.N. |
Telephone Number | 5016619628 |
NPI Number Detail
NPI Number | 1417986555 |
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Provider Enumeration Date | 2006-07-01 |
Last Updated Date | 2012-10-09 |
Provider Mailing Address Detail
Address | 5800 W 10th St |
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City | Little Rock |
State | Arkansas (AR) |
Post Code | 722041752 |
Phone Number | 5016612698 |
Fax Number | 5012804626 |
Provider's Primary Taxonomy Detail
Speciality | Hospice Care, Community Based |
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Taxonomy | 251G00000X |
Licence No | AR3636 |
Definition: Provides palliative care to terminally ill patients to manage pain and symptoms and support quality of life. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
123489747 | AR | -- | |
AR3606 | AR | AR STATE HOPSICE LICENSE |
Post Comment/ Review Below
What is the State Of Arkansas's unique identification number?
The State Of Arkansas has been assigned the NPI (National Provider Identifier) Number 1417986555 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where State Of Arkansas is located?
The State Of Arkansas is situated at the following address: 5800 W 10Th St, Little Rock, AR, 722041752.
What is State Of Arkansas's specialized field of practice, and what is the corresponding taxonomy classification code?
The State Of Arkansas's area of specialization is Hospice Care, Community Based, and the corresponding taxonomy code that categorizes this field of practice is 251G00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417986555 to State Of Arkansas?
The Centers for Medicare & Medicaid Services assigned the 1417986555 to State Of Arkansas on 2006-07-01.
When was the State Of Arkansas's information last updated?
The State Of Arkansas's information was last updated on 2012-10-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY