Organization
BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM JANSEN (DIRECTOR OF BLACK RIVER AREA DEV.)
(870) 892-4547
Entity
Organization
Contact information
Practice address
1403 HOSPITAL DR, POCAHONTAS, AR 72455-3847
(870) 892-4547
(870) 892-0707
Mailing address
1403 HOSPITAL DR, POCAHONTAS, AR 72455-3847
(870) 892-4547
(870) 892-0707
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120546753
—
AR
Enumeration date
04/23/2008
Last updated
04/23/2008
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