Organization
PAUL & ASHLEY FRY, LLC
Active
Other names
Home Instead #601
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FRY RN (OWNER)
(501) 764-1814
Entity
Organization
Contact information
Practice address
7 BEAVERFORK RD, CONWAY, AR 72032-9517
(501) 764-1814
(501) 764-1913
Mailing address
7 BEAVERFORK RD, CONWAY, AR 72032-9517
(501) 764-1814
(501) 764-1913
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231830732
—
AR
05
—
233258797
—
AR
05
—
233602757
—
AR
05
—
233605765
—
AR
Enumeration date
11/15/2018
Last updated
10/26/2023
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