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Organization
PACC SENIOR CARE, LLC
Active
Organization
PACC SENIOR CARE, LLC
Active
Other names
Home Instead #478, Home Instead Senior Care #478
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FRY (OWNER)
(708) 933-6247
Entity
Organization
Contact information
Practice address
2908 KING ST, JONESBORO, AR 72401-5321
(870) 933-6247
(870) 933-6446
Mailing address
2908 KING ST, JONESBORO, AR 72401-5321
(870) 933-9247
(870) 933-6446
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
02/19/2020
Last updated
10/26/2023
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