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Organization

CARE IV, INC.

Active
Other names
Care IV Home Health Russellville
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN HAMMOND (VICE PRESIDENT/GENERAL MANAGER)
(501) 686-2400
Entity
Organization

Contact information

Practice address
1008 W MAIN ST, RUSSELLVILLE, AR 72801-3518
(479) 964-0072
(479) 964-0074
Mailing address
1008 W MAIN ST, RUSSELLVILLE, AR 72801-3518
(479) 964-0072
(479) 964-0074

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4325
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10617
BCBS PROVIDER NUMBER
AR
05
155423738
AR
05
159541732
AR
05
159584752
AR
05
159585757
AR
05
175821514
AR
Enumeration date
08/09/2006
Last updated
01/13/2011
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