Organization
SOUTHEAST ARKANSAS HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFFORD RASPBERRY FLOWERS SR. (OWNER)
(870) 753-9225
Entity
Organization
Contact information
Practice address
629 OAKLAND AVE, HELENA, AR 72342-1503
(870) 753-9225
(870) 753-9230
Mailing address
629 OAKLAND AVE, HELENA, AR 72342-1503
(870) 753-9225
(870) 753-9230
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
AR4239
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11566
BLUE CROSS BLUE SHIELD
AR
Enumeration date
10/04/2006
Last updated
08/22/2020
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