Organization
MCGEHEE DESHA COUNTY HOSPITAL
Active
Other names
Southeast Arkansas Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGIE SNOW LPN (BILLING/STAFF NURSE)
(870) 222-3805
Entity
Organization
Contact information
Practice address
901 S 3RD ST, MC GEHEE, AR 71654-2563
(870) 222-3805
(870) 222-3984
Mailing address
PO BOX 351, MC GEHEE, AR 71654-0351
(870) 222-3805
(870) 222-3984
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4067
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102097514
—
AR
01
—
17008
BCBS ID NUMBER
AR
Enumeration date
12/14/2005
Last updated
03/09/2010
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