# ARKANSAS HOME HEALTH PROVIDERS-IV, LLC

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

## Provider details

- **NPI number:** 1174925945
- **Authorized official:** RICHARD A WILLIAMS (MANAGER)
- **Authorized official phone:** (501) 455-0010

## Contact information

- **Practice address:** 107 NATHAN ST, MARKED TREE, AR 72365-1447
- **Practice address phone:** (870) 358-4018
- **Mailing address:** 10710 OTTER CREEK EAST BLVD, SUITE 400, MABELVALE, AR 72103-5808
- **Mailing address phone:** (501) 455-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2014
- **Last updated:** 09/23/2014
