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Organization

DIERKSEN OF TEXARKANA ARKANSAS LLC

Active
Other names
Dierksen Memorial Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
JESSE R MOORE (CHIEF ADMINISTRATIVE OFFICER)
(857) 331-6271
Entity
Organization

Contact information

Practice address
4613 PARKWAY DR STE 20, TEXARKANA, AR 71854
(870) 773-4353
Mailing address
500 FAULCONER DR STE 200, CHARLOTTESVILLE, VA 22903-5089
(434) 977-9711

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
06/26/2008
Last updated
01/29/2025
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