# THE RAY DAE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114771920
- **Authorized official:** JENNIFER JANE COOK MS, SDP, CHC (OWNER)
- **Authorized official phone:** (479) 715-3875

## Contact information

- **Practice address:** 701 MADISON DR, PRAIRIE GROVE, AR 72753-2871
- **Practice address phone:** (479) 715-3875
- **Mailing address:** 701 MADISON DR, PRAIRIE GROVE, AR 72753-2871
- **Mailing address phone:** (479) 715-3875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/16/2024
- **Last updated:** 04/16/2024