NPI 1063919892
These Old Bonez Enterprises
Practice location
- Address
- 2144 Hwy147 South- Building a, Proctor, AR 72376-2346
- Phone
- (870) 277-0082
- Fax
- (901) 205-0597
- Mailing address
- PO Box 1298, West Memphis, AR 72303-1298
Authorised official
- Name
- Sherese Green
- Title
- President
- Phone
- (187) 051-4938
Registered specialties (14)
Personal Care Attendant
Primary
Local Education Agency (LEA)
Case Management Agency
Home Health Agency
Nursing Care Agency
PACE Provider Organization
In Home Supportive Care Agency
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Illness Community Based Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Non-emergency Medical Transport (VAN)
Private Vehicle
Respite Care
Respite Care
Registry record
- NPI
- 1063919892
- Entity type
- Organization
- NPI issued
- 9 Apr 2018
- Record last updated
- 7 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.