State of Arkansas

Organization Active NPI Home Health Agency · West Helena, AR

NPI 1386654432 · NPPES record last updated Oct 10, 2008

Key facts

NPI
1386654432
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
AR4012 (AR)
Legal business name
STATE OF ARKANSAS
Practice address
Shirley Hicks Drive Hwy. 49 Bypass
Phillips County Health Unit
West Helena, AR 72390-2627
Phone
(870) 572-9028
Fax
(870) 572-3349
NPI assigned
Aug 9, 2006
Organization subpart
Yes
Parent organization (as reported)
STATE OF ARKANSAS

Authorized official

Name
Marilyn Evans, RN
Title
Home Health Administrator
Phone
(501) 661-2540

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Part of
State of Arkansas

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4012 AR Yes

Addresses

Primary practice location

Shirley Hicks Drive Hwy. 49 Bypass
Phillips County Health Unit
West Helena, AR 72390-2627

Mailing address

5800 West 10TH Street
Suite 300
Little Rock, AR 72204-1764
Phone (501) 661-2614

Other identifiers

IdentifierTypeStateIssuer
104312514MedicaidAR

Other names

  • Phillips County Health Unit Doing business as

Other providers in West Helena, AR

All providers in West Helena, AR · Home Health Agency in Arkansas

Sources for this page

Verify at the official NPI Registry.