Organization
PROFESSIONAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY GARRETT (OFFICE MGR)
(870) 698-0797
Entity
Organization
Contact information
Practice address
2010 BYERS ST, BATESVILLE, AR 72501-6039
(870) 698-0797
Mailing address
2010 BYERS ST, BATESVILLE, AR 72501-6039
(870) 698-0797
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4069(B)
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136203765
—
AR
Enumeration date
03/19/2007
Last updated
08/22/2020
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