Individual
QUINCY HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 W GRAND AVE, HOT SPRINGS, AR 71913-3530
(501) 623-7767
Mailing address
620 OUACHITA AVE, HOT SPRINGS, AR 71901-3920
(501) 321-1743
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141025732
—
AR
Enumeration date
08/18/2020
Last updated
08/18/2020
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