Organization
HOSPICE OF SOUTHERN ARKANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS LACKNER (DELEGATED OFFICIAL)
(405) 412-4909
Entity
Organization
Contact information
Practice address
2620 W 28TH AVE, PINE BLUFF, AR 71603-4917
(870) 536-8371
(870) 292-3841
Mailing address
5314 S YALE AVE, SUITE 420, TULSA, OK 74135-6256
(405) 412-4909
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
AR5166
AR
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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