Organization
WHITE RIVER AREA AGENCY ON AGING,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED HALL (EXECUTIVE DIRECTOR)
(870) 612-3000
Entity
Organization
Contact information
Practice address
3998 HARRISON ST, BATESVILLE, AR 72501-4107
(870) 612-3000
Mailing address
PO BOX 2637, BATESVILLE, AR 72503-2637
(870) 612-3000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
AR3459
AR
251E00000X
Home Health Agency
AR3459
AR
310400000X
Assisted Living Facility
06-014
AR
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG01287
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102729732
—
AR
05
—
120400757
—
AR
05
—
120613765
—
AR
05
—
120742752
—
AR
05
—
145858754
—
AR
05
—
159471794
—
AR
05
—
164271797
—
AR
05
—
164321796
—
AR
05
—
164417798
—
AR
05
—
196126716
—
AR
Enumeration date
04/12/2007
Last updated
08/05/2014
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