Whalio Doctors

NPI 1568787059

Chicot Memorial Medical Center

Organisation Home Health Agency Lake Village, AR

Practice location

Address
2729 Hwy 65 & 82 S, Lake Village, AR 71653-6136
Phone
(870) 265-5351
Fax
(870) 265-2091

Authorised official

Name
Susan Vaughn
Title
Cfo
Phone
(870) 265-5351

Registered specialties

Home Health Agency Primary
Agencies Taxonomy 251E00000X Licence AR4650 (AR)

Registry record

NPI
1568787059
Entity type
Organization
NPI issued
29 Mar 2010
Record last updated
4 Nov 2016

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.