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Organization

THERACARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIIS ELKINS (CO OWNER)
(479) 629-1300
Entity
Organization

Contact information

Practice address
10707 SAINT MICHAEL CT, FORT SMITH, AR 72908-0993
(479) 629-1300
Mailing address
10707 SAINT MICHAEL CT, FORT SMITH, AR 72908-0993
(479) 629-1300

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
AR

Other

Enumeration date
06/14/2011
Last updated
06/14/2011
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