| Organization Name: | AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC |
| NPI Number: | 1386601706 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA RUSHING (SUPERVISOR OF CORPORATE SERVICES) |
| Mailing Address: | 600 7th St Mena |
| State: | AR US |
| Postal Code: | 719533205 |
| Phone Number: | 4793945458 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2006 |
| NPI Last Update Date: | 10/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 0173 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |