Organization
ADVANCED PERSONAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY DICKERSON (MEMBER)
(501) 472-7391
Entity
Organization
Contact information
Practice address
309 S PEABODY AVE, MOUNTAIN VIEW, AR 72560-9774
(870) 269-7043
(870) 269-7045
Mailing address
PO BOX 2870, MOUNTAIN VIEW, AR 72560-2870
(870) 269-7043
(870) 269-7045
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/18/2021
Last updated
09/27/2022
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