Organization
HOMETOWN HEALTHCARE OF ELKINS LLC
Active
Organization
HOMETOWN HEALTHCARE OF ELKINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN C REYNOLDS APN (OWNER/ OPERATOR)
(479) 530-5092
Entity
Organization
Contact information
Practice address
4252 CROSSOVER, FAYETTEVILLLE, AR 72703-2936
(479) 310-8197
Mailing address
847 KENSINGTON CV, SPRINGDALE, AR 72762-6286
(479) 530-5092
(479) 361-8009
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
04D2045431
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194826758
—
AR
Enumeration date
06/06/2013
Last updated
05/15/2018
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