Organization
WASHINGTON REGIONAL MEDICAL CENTER
Active
Parent organization
WASHINGTON REGIONAL HOME HEALTH
Other names
Washington Regional Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
WASHINGTON REGIONAL HOME HEALTH
Authorized official
MR. DAN R ECKELS (SVP & CFO)
(479) 463-6026
Entity
Organization
Contact information
Practice address
2863 N QUALITY LANE, FAYETTEVILLE, AR 72703-5521
(479) 463-7384
(479) 442-2867
Mailing address
2863 N QUALITY LANE, FAYETTEVILLE, AR 72703-5521
(479) 463-7384
(479) 442-2867
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4138
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114474514
—
AR
01
—
17102
BLUE CROSS PROVIDER
AR
Enumeration date
05/30/2007
Last updated
04/15/2021
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