Organization
FORREST CITY HOME MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA A PRUIETT (BILLING)
(870) 633-5176
Entity
Organization
Contact information
Practice address
101 N ROSSER ST, FORREST CITY, AR 72335-3219
(870) 633-5176
(870) 630-0530
Mailing address
PO BOX 106, FORREST CITY, AR 72336-0106
(870) 633-5176
(870) 630-0530
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4360
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346460664
—
AR
05
—
1801842836
—
AR
Enumeration date
04/27/2007
Last updated
12/19/2007
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