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

State Of Arkansas - NPI 1962430744

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 1962430744. 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 1962430744
Provider Enumeration Date 2006-06-29
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 137
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
137 AR AR STATE HOSPICE LICENSE
123489747 AR --

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FAQs about State Of Arkansas

What is the State Of Arkansas's unique identification number?

The State Of Arkansas has been assigned the NPI (National Provider Identifier) Number 1962430744 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 code that categorizes this area of expertise?

The area of specialization for State Of Arkansas is Hospice Care, Community Based, and the taxonomy code that classifies this field of practice is 251G00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1962430744 to State Of Arkansas?

The Centers for Medicare & Medicaid Services assigned the 1962430744 to State Of Arkansas on 2006-06-29.

As of what date was the information regarding State Of Arkansas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to State Of Arkansas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-09.

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