Organization
ELDER INDEPENDENCE
Active
Other names
EIHC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENIE MOSLEY (STAFFING MANAGER)
(501) 847-6102
Entity
Organization
Contact information
Practice address
5200 HIGHWAY 5 N STE 1, BRYANT, AR 72022-9143
(501) 847-6102
Mailing address
5200 HIGHWAY 5 N STE 1, P O BOX157, BRYANT, AR 72022-9143
(501) 847-6102
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2014-0078-A
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206750752
—
AR
05
—
206751757
—
AR
Enumeration date
06/15/2015
Last updated
06/15/2015
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