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Organization

SENIORS SERVING SENIORS IN-HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN SAMMONS (OWNER)
(501) 920-6217
Entity
Organization

Contact information

Practice address
21 RIDGEWELL RD, SHERWOOD, AR 72120-3109
(501) 920-6217
Mailing address
3170 E KIEHL AVE, SHERWOOD, AR 72120-4378
(501) 920-6217

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
AR5280
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
218885732
AR
Enumeration date
05/04/2017
Last updated
05/04/2017
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