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Organization
BLESSED VALLEY LLC
Active
Organization
BLESSED VALLEY LLC
Active
Other names
Blessed Valley In Home Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA ANN MARTIN (PRESIDENT/ADMINISTRATOR)
(870) 688-8300
Entity
Organization
Contact information
Practice address
9990 HWY 65, EVERTON, AR 72633
(870) 688-8300
(870) 429-1240
Mailing address
RR 1 BOX 228, WESTERN GROVE, AR 72685-9103
(870) 688-8300
(870) 429-1240
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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