Organization
STATE OF ARKANSAS
Active
Other names
Arkansas Department of Health Hospice 4
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAYLA LANUM R. N. (HOSPICE DIRECTOR)
(501) 661-2698
Entity
Organization
Contact information
Practice address
1425 MALVERN AVE, AREA IV GARLAND COUNTY HEALTH UNIT, HOT SPRINGS, AR 71901-6316
(501) 661-2698
(501) 280-4626
Mailing address
5800 WEST 10TH ST, SUITE 300, LITTLE ROCK, AR 72204-1764
(501) 661-2698
(501) 280-4626
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
AR3628
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123489747
—
AR
01
—
AR3628
AR STATE HOSPICE LICENSE
AR
Enumeration date
06/29/2006
Last updated
10/09/2012
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