Organization
PERSONAL HOMECARE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS LORENE (SPAKES) SHORT (OWNER)
(501) 847-9368
Entity
Organization
Contact information
Practice address
19000 HILLRIDGE RD, MABELVALE, AR 72103-8811
(501) 847-9368
Mailing address
PO BOX 194004, LITTLE ROCK, AR 72219-4004
(501) 847-9368
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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