Organization
AREA AGENCY ON AGING OF WESTERN AR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA RUSHING (SUPERVISOR OF CORPORATE SERVICES)
(479) 783-4500
Entity
Organization
Contact information
Practice address
116 E 10TH ST, RUSSELLVILLE, AR 72801-6027
(479) 968-9618
Mailing address
524 GARRISON AVE, PO BOX 1724, FORT SMITH, AR 72901-2514
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/26/2006
Last updated
10/03/2007
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