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Organization
TEAM 4 ULTIMATE CARE
Active
Organization
TEAM 4 ULTIMATE CARE
Active
Parent organization
TEAM 4 ULTIMATE CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEAM 4 ULTIMATE CARE
Authorized official
KRESTON TYRELL GIBBS (EXECUTIVE DIRECTOR)
(870) 807-3639
Entity
Organization
Contact information
Practice address
1122 N PINE ST, FORDYCE, AR 71742-7009
(870) 807-3639
(501) 575-6093
Mailing address
1122 N PINE ST, FORDYCE, AR 71742-7009
(870) 807-3639
(501) 575-6093
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
09/15/2026
Last updated
09/15/2026
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