Organization
PACC SENIOR CARE, LLC
Active
Other names
Home Instead #478, Home Instead Senior Care #478
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FRY (OWNER)
(708) 933-6247
Entity
Organization
Contact information
Practice address
2908 KING ST, JONESBORO, AR 72401-5321
(870) 933-6247
(870) 933-6446
Mailing address
2908 KING ST, JONESBORO, AR 72401-5321
(870) 933-9247
(870) 933-6446
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AR5317
—
AR
Enumeration date
02/19/2020
Last updated
10/26/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us