# FORREST CITY HOME MEDICAL EQUIPMENT, LLC

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

## Provider details

- **NPI number:** 1346460664
- **Authorized official:** MRS. LISA A PRUIETT (BILLING)
- **Authorized official phone:** (870) 633-5176

## Contact information

- **Practice address:** 101 N ROSSER ST, FORREST CITY, AR 72335-3219
- **Practice address phone:** (870) 633-5176
- **Practice address fax:** (870) 630-0530
- **Mailing address:** PO BOX 106, FORREST CITY, AR 72336-0106
- **Mailing address phone:** (870) 633-5176
- **Mailing address fax:** (870) 630-0530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | AR4360 | AR | Yes |

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 12/19/2007