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Organization
BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
Active
Organization
BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
Active
Other names
Elite Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH E SANDERS (ADMINISTRATOR / CEO)
(870) 352-6363
Entity
Organization
Contact information
Practice address
310 W COLLEGE, FORDYCE, AR 71742-2230
(870) 352-6363
(870) 352-6343
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4115
AR
251J00000X
Nursing Care Agency
—
AR
Other
Enumeration date
10/10/2006
Last updated
10/17/2017
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