NPI 1174580252 · live from the CMS NPI Registry
Area Agency On Aging Of Western Arkansas, INC
Hospice Care, Community Based in Waldron, AR. National Provider Identifier 1174580252, active.
NPI record
| NPI | 1174580252 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 1579 Clyde Hawkins Dr, Waldron, AR 72958 |
| Practice phone | 479-637-4795 |
| Mailing address | 524 Garrison Ave, Po Box 1724, Fort Smith, AR 72901 |
| Enumerated | May 1, 2006 |
| Last updated | October 2, 2007 |
| Authorized official | Lisa Rushing, Supervisor Of Corporate Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 0173 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.