Organization
HERITAGE HOME HEALTH, LLC
Active
Other names
Integrity Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONA DENISE JACKSON RN (ADMINISTRATOR)
(870) 773-4900
Entity
Organization
Contact information
Practice address
3809 E 9TH ST, SUITE 12, TEXARKANA, AR 71854-5818
(870) 773-4900
(870) 772-9270
Mailing address
3809 E 9TH ST, SUITE 12, TEXARKANA, AR 71854-5818
(870) 773-4900
(870) 772-9270
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4167
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149721514
—
AR
Enumeration date
09/15/2005
Last updated
10/05/2012
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