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Individual

EDDIE CHARLES SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HOME HEALTH PROVIDER

Contact information

Practice address
21005 HIGHWAY 365 S, LITTLE ROCK, AR 72206-8964
(501) 765-4953
Mailing address
21005 HIGHWAY 365 S, LITTLE ROCK, AR 72206-8964
(501) 772-7824

Taxonomy

Speciality
Code
Description
License number
State
132700000X
Dietary Manager
146D00000X
Personal Emergency Response Attendant
171000000X
Military Health Care Provider
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
172A00000X
Driver
904810414
AR
174200000X
Meals Provider
175T00000X
Peer Specialist
177F00000X
Lodging Provider
183700000X
Pharmacy Technician
251E00000X
Home Health Agency
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
374U00000X
Home Health Aide

Other

Enumeration date
04/24/2024
Last updated
04/24/2024
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