NPI 1417599788
E & D Private Care Agency
Practice location
- Address
- 3051 Waverly Rd, Proctor, AR 72376
- Phone
- (901) 262-6043
- Fax
- (870) 400-0061
Authorised official
- Name
- Darrell L. Mack
- Title
- Owner
- Phone
- (870) 514-2218
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1417599788
- Entity type
- Organization
- NPI issued
- 8 Oct 2019
- Record last updated
- 8 Oct 2019
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.