# FORT SMITH CASE MANAGEMENT

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

## Provider details

- **NPI number:** 1659638245
- **Authorized official:** MRS. REGINA LYNN PURKEY (OWNER)
- **Authorized official phone:** (479) 459-6654

## Contact information

- **Practice address:** 610 WHITETAIL LN, GREENWOOD, AR 72936-6823
- **Practice address phone:** (479) 459-6654
- **Practice address fax:** (479) 996-6654
- **Mailing address:** 610 WHITETAIL LN, GREENWOOD, AR 72936-6823
- **Mailing address phone:** (479) 459-6654
- **Mailing address fax:** (479) 996-6654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | L35903 | AR | Yes |

## Other

- **Enumeration date:** 04/19/2012
- **Last updated:** 04/19/2012