Organization
SOUTHEAST ARKANSAS HOSPICE LTD CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFFORD RASPBERRY FLOWERS SR. (OWNER)
(870) 850-7152
Entity
Organization
Contact information
Practice address
1401 S STATE ST, SUITE A, PINE BLUFF, AR 71601-5856
(870) 850-7152
(870) 850-7413
Mailing address
1401 S STATE ST, SUITE A, PINE BLUFF, AR 71601-5856
(870) 850-7152
(870) 850-7413
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
AR4100
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11566
BLUE CROSS BLUE SHIELD
AR
05
—
148705747
—
AR
Enumeration date
10/04/2006
Last updated
03/30/2012
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