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Organization

ARKANSAS HOME HEALTH PROVIDERS-III, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD A WILLIAMS (MANAGER)
(501) 455-0010
Entity
Organization

Contact information

Practice address
318 S RHODES ST, WEST MEMPHIS, AR 72301-4215
(870) 633-3551
Mailing address
10710 OTTER CREEK EAST BLVD, SUITE 400, MABELVALE, AR 72103-5808
(501) 455-0010

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR5088
AR
251J00000X
Nursing Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205518738
AR
Enumeration date
09/23/2014
Last updated
04/07/2015
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