NPI 1962430744

State of Arkansas

Organisation Community Based Hospice Care Agency Forrest City, AR

Practice location

Address: 1501 Dawson Rd, Forrest City, AR 72335-2088
Phone: (501) 661-2698
Fax: (501) 280-4626
Mailing address: 5800 W 10th St Suite 300, Little Rock, AR 72204-1752

Authorised official

Name: Gayla Lanum
Title: Hospice Director
Phone: (501) 661-2698

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X Licence 0137 (AR)

Other Hospice Care, Community Based providers in Arkansas →

Registry record

NPI: 1962430744
Entity type: Organization
NPI issued: 29 Jun 2006
Record last updated: 9 Oct 2012

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.