Organization
WYNNE ELDER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET PAULETTE MCCLANAHAN PT (INCORPORATOR/ORGANIZER)
(870) 208-5452
Entity
Organization
Contact information
Practice address
2019 E BROADWAY ST, FORREST CITY, AR 72335-7881
(870) 633-1977
(870) 633-1977
Mailing address
PO BOX 1420, WYNNE, AR 72396-1420
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
PT820
AR
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/23/2015
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