NPI 1841647997 · live from the CMS NPI Registry
Hospice Of Southern Arkansas LLC
Hospice Care, Community Based in Pine Bluff, AR. National Provider Identifier 1841647997, active.
NPI record
| NPI | 1841647997 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 2620 W 28th Ave, Pine Bluff, AR 71603 |
| Practice phone | 870-536-8371 |
| Mailing address | 5314 S Yale Ave, Suite 420, Tulsa, OK 74135 |
| Enumerated | May 18, 2016 |
| Last updated | May 18, 2016 |
| Authorized official | Chris Lackner, Delegated Official |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | AR5166 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.