# WYNNE ELDER CARE LLC

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

## Provider details

- **NPI number:** 1720456320
- **Authorized official:** MRS. MARGARET PAULETTE MCCLANAHAN PT (INCORPORATOR/ORGANIZER)
- **Authorized official phone:** (870) 208-5452

## Contact information

- **Practice address:** 2019 E BROADWAY ST, FORREST CITY, AR 72335-7881
- **Practice address phone:** (870) 633-1977
- **Practice address fax:** (870) 633-1977
- **Mailing address:** PO BOX 1420, WYNNE, AR 72396-1420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | PT820 | AR | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 09/23/2015