Organization
VIVACITY 360 HEALTH CO
Active
Organization
VIVACITY 360 HEALTH CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE ANN FORTE APRN (CEO)
(501) 954-0443
Entity
Organization
Contact information
Practice address
116 N LIVERMORE ST, HAZEN, AR 72064
(501) 232-1107
(501) 426-8339
Mailing address
2342 HIGHWAY 31 N, BEEBE, AR 72012-9780
(501) 232-1107
(501) 426-8339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2026
Last updated
08/18/2026
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