Organization
STATE OF ARKANSAS
Active
Parent organization
STATE OF ARKANSAS
Other names
Ashley County Health Unit/ Crossett
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF ARKANSAS
Authorized official
MARILYN EVANS RN (HOME HEALTH ADMINISTRATOR)
(501) 661-2540
Entity
Organization
Contact information
Practice address
1300 W 5TH AVE, ASHLEY COUNTY HEALTH UNIT, CROSSETT, AR 71635-2500
(870) 364-2115
(870) 364-3505
Mailing address
5800 WEST 10TH STREET, SUITE 300, LITTLE ROCK, AR 72204-1764
(501) 661-2614
(501) 661-2975
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4042
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104312514
—
AR
Enumeration date
08/09/2006
Last updated
07/03/2008
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