Organization
KELS ADULT DAY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LASKER (PROGRAM DIRECTOR)
(501) 241-0008
Entity
Organization
Contact information
Practice address
601 N 1ST ST, SUITE 4 & 5, JACKSONVILLE, AR 72076-4117
(501) 241-0008
Mailing address
PO BOX 2095, CONWAY, AR 72033-2095
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
AR
251E00000X
Home Health Agency
—
AR
261QA0600X
Adult Day Care Clinic/Center
Primary
—
AR
385H00000X
Respite Care
—
AR
Other
Enumeration date
05/24/2007
Last updated
08/10/2007
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