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Organization
SOUTHERN CAREGIVERS OF DE QUEEN LLC
Active
Organization
SOUTHERN CAREGIVERS OF DE QUEEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HOOPER (QUALITY DIRECTOR)
(501) 701-9122
Entity
Organization
Contact information
Practice address
211 W DEQUEEN AVE, DE QUEEN, AR 71832-2809
(501) 463-9990
(870) 455-0087
Mailing address
PO BOX 399, MAGNOLIA, AR 71754-0399
(501) 701-9122
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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