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Organization

NORTH DELTA HOSPICE OF ARKANSAS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAYMOND E VALLIER (ADMINISTRATOR/CEO)
(662) 393-0170
Entity
Organization

Contact information

Practice address
154 E MAIN ST STE A, PIGGOTT, AR 72454-2723
(662) 393-0170
(662) 393-0171
Mailing address
123 STATELINE RD E, SOUTHAVEN, MS 38671-1710
(662) 393-0170
(662) 393-0171

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
137
MS

Other

Enumeration date
03/04/2010
Last updated
03/04/2010
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