NPI 1679747513

Cossatot Polk County Senior Citizens, INC.

Organisation Home Delivered Meals Wickes, AR

Practice location

Address: 7366 Highway 71 S, Wickes, AR 71973-9341
Phone: (870) 385-2373
Fax: (870) 385-2390

Authorised official

Name: Phyllis J Ray
Title: Executive Director
Phone: (870) 385-2373

Registered specialties

Home Delivered Meals Primary

Suppliers Taxonomy 332U00000X Licence 92733 (AR)

Other Home Delivered Meals providers in Arkansas →

Registry record

NPI: 1679747513
Entity type: Organization
NPI issued: 22 Apr 2008
Record last updated: 22 Apr 2008

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.