State Of Arkansas in Little Rock - Hospice Care, Community Based

State Of Arkansas - NPI 1811926967

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 1811926967. 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
Address 5800 W 10th St, Little Rock, Arkansas
Phone Number 5016612698
Fax Number 5012804626
Sole Proprietor --
Credentials --

Authorized Official

Title or Position HOSPICE DI
Authorized Official Name Lanum Gayla
Credentials R.N.
Telephone Number 5016612698

NPI Number Detail

NPI Number 1811926967
Provider Enumeration Date 2006-07-01
Last Updated Date 2012-10-09

Provider Mailing Address Detail

Address 5800 W 10th St
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
Taxonomy 251G00000X
Licence No 143
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 --
413 AR AR STATE HOSPICE LICENSE

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FAQs about State Of Arkansas

What is the unique identifier code issued to State Of Arkansas by the Centers for Medicare & Medicaid Services (CMS)?

The State Of Arkansas has been assigned the NPI (National Provider Identifier) 1811926967. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of State Of Arkansas?

The State Of Arkansas is situated at 5800 W 10Th St, in the city of Little Rock, state of AR, with the zip code 722041752.

What is State Of Arkansas's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for State Of Arkansas is Hospice Care, Community Based, and the corresponding taxonomy classification code for this specialized field is 251G00000X.

When was the State Of Arkansas's 1811926967 issued?

The State Of Arkansas's 1811926967 was issued on 2006-07-01.

As of what date were the State Of Arkansas's details last updated?

The information pertaining to the State Of Arkansas, including its address, specialty, and other details, was most recently updated on 2012-10-09.

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