Organization Name: | AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC |
NPI Number: | 1144287202 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA RUSHING (SUPERVISOR OF CORPORATE SERVICES) |
Mailing Address: | 550 Heritage Dr Booneville |
State: | AR US |
Postal Code: | 729273862 |
Phone Number: | 4796754234 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 10/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0161 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |