Organization
GRACON, INC.
Active
Other names
Home Bound Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAYLA D GRAY (CO-OWNER)
(870) 425-2446
Entity
Organization
Contact information
Practice address
358 HIGHWAY 5 N, MOUNTAIN HOME, AR 72653-3039
(870) 425-2446
(870) 424-2223
Mailing address
358 HIGHWAY 5 N, MOUNTAIN HOME, AR 72653-3039
(870) 425-2446
(870) 424-2223
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
AR4607
AR
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140830738
—
AR
05
—
142105732
—
AR
05
—
148927557
—
AR
05
—
150022765
—
AR
05
—
164214797
—
AR
05
—
187776514
—
AR
05
—
218335738
—
AR
05
—
219234797
—
AR
05
—
221146757
—
AR
05
—
221880732
—
AR
05
—
223547797
—
AR
05
—
224179732
—
AR
05
—
224181757
—
AR
05
—
234439765
—
AR
Enumeration date
08/09/2006
Last updated
07/01/2020
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