Organization
CONCEPT PROFESSIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN HERMAN COTTA (OWNER, CEO)
(479) 437-6971
Entity
Organization
Contact information
Practice address
4609 S 16TH ST, FORT SMITH, AR 72901-7915
(479) 434-6971
(479) 434-6974
Mailing address
4609 S 16TH ST, FORT SMITH, AR 72901-7915
(479) 434-6971
(479) 434-6974
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/25/2009
Last updated
06/06/2012
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