Organization
OPEN WINGS IN HOME CARE
Active
Organization
OPEN WINGS IN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA HUGHEY DNP (CEO)
(870) 904-3106
Entity
Organization
Contact information
Practice address
3801 W 28TH AVE, PINE BLUFF, AR 71603-4774
(870) 949-6499
Mailing address
PO BOX 2426, MAGNOLIA, AR 71754-7426
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237692732
—
AR
Enumeration date
04/26/2021
Last updated
04/26/2021
Update your record
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