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NPI 1093772741 · live from the CMS NPI Registry

Area Agency On Aging Of Western Arkansas, INC

Hospice Care, Community Based in Ozark, AR. National Provider Identifier 1093772741, active.

NPI record

NPI1093772741 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location317 W Commercial St, Ozark, AR 72949
Practice phone479-667-4870
Mailing address524 Garrison Ave, Po Box 1724, Fort Smith, AR 72901
EnumeratedApril 27, 2006
Last updatedOctober 2, 2007
Authorized officialLisa Rushing, Supervisor Of Corporate Services

Taxonomies and licenses

TaxonomyCodeLicense
Hospice Care, Community Based primary251G00000X0161 (AR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.