NPI 1275745044

Van Buren County Aging Program

Organisation Private Vehicle Clinton, AR

Practice location

Address: 570 Yellowjacket Ln, Clinton, AR 72031-6769
Phone: (501) 745-2244
Fax: (501) 745-5204

Authorised official

Name: Jimmie Leon Kirkendoll
Title: Director
Phone: (501) 745-2244

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 347C00000X (AR)

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Registry record

NPI: 1275745044
Entity type: Organization
NPI issued: 4 May 2007
Record last updated: 22 Aug 2020

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.