# OZARK ADULT PERSONAL CARE LLC

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

## Provider details

- **NPI number:** 1265780944
- **Authorized official:** JILL WILES (OWNER)
- **Authorized official phone:** (870) 368-4419

## Contact information

- **Practice address:** 1234 E MAIN ST, MELBOURNE, AR 72556-9316
- **Practice address phone:** (870) 368-4419
- **Practice address fax:** (870) 368-4094
- **Mailing address:** PO BOX 906, MELBOURNE, AR 72556-0906
- **Mailing address phone:** (870) 368-4419
- **Mailing address fax:** (870) 368-4094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 09/23/2019