Organization Name: | AMERICARE IN HOME SERVICE AGENCY |
NPI Number: | 1568733079 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA L BURKE (OWNER) |
Mailing Address: | 2111 Old County Rd Pocahontas |
State: | AR US |
Postal Code: | 724554137 |
Phone Number: | 8702480555 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2012 |
NPI Last Update Date: | 01/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | AR4592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |