Organization
ARKANSAS HOME MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI A MASSEY (ADMINISTRATIVE ASSISTANT)
(870) 448-5984
Entity
Organization
Contact information
Practice address
1101 MUSEUM RD, SUITE 6, CONWAY, AR 72032
(501) 329-8005
(501) 329-8088
Mailing address
PO BOX 367, MARSHALL, AR 72650-0367
(870) 448-5984
(870) 448-3697
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MG00622
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162261716
—
AR
Enumeration date
09/22/2006
Last updated
08/09/2012
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