Park Ivy Consultants, Inc
Organization Active NPI In Home Supportive Care Agency · Rudy, AR
NPI 1295595379 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1295595379
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- PARK IVY CONSULTANTS, INC
- Practice address
- 5123 Figure Five HTS
Rudy, AR 72952-9417 - Phone
- (479) 459-6354
- NPI assigned
- Mar 19, 2024
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerry Dale Frederiksen Sr.
- Title
- Sec/Treasurer
- Phone
- (479) 459-6354
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
5123 Figure Five HTS
Rudy, AR 72952-9417
Mailing address
PO Box 6691
Van Buren, AR 72956-0601
Phone (479) 459-6354
Other names
- Physician's Wellness & Weight Loss
Other providers in Rudy, AR
- Elizabeth Diane Lott
- Amy Elizabeth Margis
- Medpro, LLC
- Leyna Morgan
- Nick Keeter
- Kala D Price
- Sherry Sartin
- Casondra Smith
- Janessa Dionne Steely
- Stephen Storm
All providers in Rudy, AR · In Home Supportive Care Agency in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.