Organization
STATE OF ARKANSAS
Active
Parent organization
STATE OF ARKANSAS
Other names
Logan County Health Unit /Boonville
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF ARKANSAS
Authorized official
MARILYN EVANS RN (HOME HEALTH ADMINISTRATOR)
(501) 661-2540
Entity
Organization
Contact information
Practice address
721 WEST 1ST STREET, LOGAN COUNTY HEALTH UNIT, BOONEVILLE, AR 72927-4567
(479) 675-4370
(479) 675-5852
Mailing address
5800 W 10TH ST, SUITE 300, LITTLE ROCK, AR 72204-1752
(501) 661-2614
(501) 661-2975
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4041
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104312514
—
AR
Enumeration date
07/22/2006
Last updated
10/10/2008
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