# STATE OF ARKANSAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AR Dept of Health & Human Services Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861402901
- **Authorized official:** MARILYN EVANS RN (HOME HEALTH ADMINISTRATOR)
- **Authorized official phone:** (501) 661-2540

## Contact information

- **Practice address:** 5800 W 10TH ST, SUITE 300 ARKANSAS DEPT OF HEALTH AND HUMAN SERVICES, LITTLE ROCK, AR 72204-1752
- **Practice address phone:** (501) 661-2614
- **Practice address fax:** (501) 661-2975
- **Mailing address:** 5800 WEST TENTH STREET, SUITE 300 ARKANSAS DEPT OF HEALTH, LITTLE ROCK, AR 72204
- **Mailing address phone:** (501) 661-2614
- **Mailing address fax:** (501) 661-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | AR3971 | AR | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 07/13/2007
