Organization
ELITE SENIOR CARE-NORTH ARKANSAS LLC
Active
Other names
Allheart Senior Care-North Arkansas
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN HAGOOD (OWNER)
(870) 435-2123
Entity
Organization
Contact information
Practice address
6289 HWY 62W, GASSVILLE, AR 72635
(870) 435-2123
Mailing address
P. O. BOX 218, 6289 HWY 62 WEST /, GASSVILLE, AR 72635
(870) 435-2123
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
215139765
AR
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205557757
—
AR
05
—
206177732
—
AR
05
—
207843797
—
AR
05
—
215139765
—
AR
Enumeration date
09/22/2016
Last updated
06/08/2022
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