Organization Name: | AREA AGENCY ON AGING OF NORTHWEST ARKANSAS |
NPI Number: | 1114980109 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD BAILEY (DIRECTOR OF FINANCE) |
Mailing Address: | 1510 Rock Springs Rd Harrison |
State: | AR US |
Postal Code: | 726018804 |
Phone Number: | 8707411144 |
Fax Number: | 8707411153 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | MG00523 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |