Organization
GENESIS C & F HOME CARE OF ARKANSAS
Active
Other names
Genesis C & F Home Care of Arkansas
Organization subpart
No
Provider details
NPI number
Authorized official
MINNIE COOPER (OWNER)
(901) 281-5718
Entity
Organization
Contact information
Practice address
1985 KROGER DR STE 11C, WEST MEMPHIS, AR 72301-1771
(901) 281-5718
Mailing address
1117 N 7TH ST, MEMPHIS, TN 38107-3854
(901) 281-5718
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253Z00000X
TAXONOMY
AR
01
—
AR5491
LICENSE
AR
Enumeration date
01/19/2017
Last updated
09/26/2019
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