Wellformed AI

NPI 1972560050 · live from the CMS NPI Registry

Area Agency On Aging Of Western Arkansas, INC

Hospice Care, Community Based in Hartford, AR. National Provider Identifier 1972560050, active.

NPI record

NPI1972560050 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location102 Bolan Street, Hartford, AR 72938
Practice phone479-639-2997
Mailing address524 Garrison Ave, Po Box 1724, Fort Smith, AR 72901
EnumeratedMay 1, 2006
Last updatedOctober 2, 2007
Authorized officialLisa Rushing, Supervisor Of Corporate Services

Taxonomies and licenses

TaxonomyCodeLicense
Hospice Care, Community Based primary251G00000X0176 (AR)

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