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Organization

ELDER HOUSE ADULT DAY CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS PAULA LA QUITA RAINEY (DIRECTOR)
(870) 875-1711
Entity
Organization

Contact information

Practice address
615 W CEDAR ST, EL DORADO, AR 71730-5766
(870) 875-1711
(870) 875-1122
Mailing address
615 W CEDAR ST, EL DORADO, AR 71730-5766
(870) 875-1711
(870) 875-1122

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
00-306
AR

Other

Enumeration date
12/18/2008
Last updated
12/18/2008
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