Organization
FERTILE SOIL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN SPINKS FULLER M.ED. (OWNER)
(870) 382-3188
Entity
Organization
Contact information
Practice address
435 HIGHWAY 65 S, DUMAS, AR 71639-2727
(870) 382-3188
(870) 382-3188
Mailing address
PO BOX 771, DUMAS, AR 71639-0771
(870) 382-3188
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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