Organization
ASSISTED CARE FOR SENIORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN CLARK (PRESIDENT)
(870) 942-4700
Entity
Organization
Contact information
Practice address
102 CENTER STREET, SUITE A, SHERIDAN, AR 72150
(870) 942-4700
(870) 942-4184
Mailing address
P.O. BOX 538, SHERIDAN, AR 72150
(870) 942-4700
(870) 942-4184
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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