Organization
HOSPICE PEACHTREE LLC
Active
Other names
Peachtree Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM PETRUS (CHIEF OPERATING OFFICER)
(479) 494-0100
Entity
Organization
Contact information
Practice address
2910 JENNY LIND RD, #4, FORT SMITH, AR 72901-6735
(479) 494-0100
Mailing address
2910 JENNY LIND RD, #4, FORT SMITH, AR 72901-6735
(479) 494-0100
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141698747
—
AR
Enumeration date
01/18/2006
Last updated
07/23/2010
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