# AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC

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

## Provider details

- **NPI number:** 1679539720
- **Authorized official:** MS. DIANE SUTTON (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (479) 783-4500

## Contact information

- **Practice address:** 550 HERITAGE DR, BOONEVILLE, AR 72927-3862
- **Practice address phone:** (479) 675-4234
- **Mailing address:** 524 GARRISON AVE, PO BOX 1724, FORT SMITH, AR 72901-2514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 09/06/2011
