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Organization

J & S FRY ENTERPRISES, INC.

Active
Other names
Home Instead Senior Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JONATHAN G. FRY (OWNER/PRESIDENT)
(479) 434-6960
Entity
Organization

Contact information

Practice address
3800 ROGERS AVE, SUITE 1, FORT SMITH, AR 72903-3046
(479) 434-6960
(479) 434-6962
Mailing address
3800 ROGERS AVE, SUITE 1, FORT SMITH, AR 72903-3046
(479) 434-6960
(479) 434-6962

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
AR4568
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164231757
AR
05
164232752
AR
05
177168732
AR
05
177616796
AR
05
178410765
AR
Enumeration date
10/02/2009
Last updated
10/02/2009
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