Organization
PALCO CHOICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI DENNISON (BILLING DIRECTOR)
(501) 604-9936
Entity
Organization
Contact information
Practice address
501 MILLWOOD CIR STE A, MAUMELLE, AR 72113-6304
(501) 604-9936
Mailing address
PO BOX 13260, MAUMELLE, AR 72113-0260
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
10/07/2024
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