Organization
AMCARE SENIOR LIFE PARTNERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTI CHANSLEY (OFFICE ADMINISTRATOR)
(479) 880-1112
Entity
Organization
Contact information
Practice address
220 E 4TH ST, RUSSELLVILLE, AR 72801-5134
(479) 880-1112
Mailing address
220 E 4TH ST, RUSSELLVILLE, AR 72801-5134
(479) 880-1112
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163628757
—
AR
05
—
163629752
—
AR
05
—
167019765
—
AR
Enumeration date
07/30/2008
Last updated
07/30/2008
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