Individual
MS. CAROL JEAN SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 BERYL RD, CONWAY, AR 72032-9457
(501) 259-4094
Mailing address
PO BOX 173, VILONIA, AR 72173-0173
(501) 259-4094
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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