| Organization Name: | SOUTHEAST ARKANSAS HOSPICE, LLC |
| NPI Number: | 1790871465 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLIFFORD RASPBERRY FLOWERS (OWNER) |
| Mailing Address: | 629 Oakland Ave Helena |
| State: | AR US |
| Postal Code: | 723421503 |
| Phone Number: | 8707539225 |
| Fax Number: | 8707539230 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | AR4239 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |