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Organization

ARKANSAS HOME CARE ASSISTANCE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY RENEE PHILYAW (CO-OWNER)
(501) 463-9425
Entity
Organization

Contact information

Practice address
3955 CENTRAL AVE STE 4, HOT SPRINGS NATIONAL PARK, AR 71913
(501) 463-9425
(501) 463-9426
Mailing address
3955 CENTRAL AVE STE 4, HOT SPRINGS NATIONAL PARK, AR 71913-7290
(501) 463-9425
(501) 463-9426

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
217707765
AR
Enumeration date
08/17/2017
Last updated
07/21/2022
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