Organization
SHEPHERD'S GRACE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKARLO ROGERS (ADMINISTRATOR)
(501) 213-0437
Entity
Organization
Contact information
Practice address
5005 NATALIE DR, BRYANT, AR 72022-9231
(501) 213-0437
(501) 943-7254
Mailing address
5005 NATALIE DR, BRYANT, AR 72022-9231
(501) 213-0437
(501) 943-7254
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0859580
AR
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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