National Provider Identifier Database

DIERKSEN OF TEXARKANA ARKANSAS LLC
Hospice Care, Community Based


Contact Information

DIERKSEN OF TEXARKANA ARKANSAS LLC
4613 PARKWAY DR STE 20
TEXARKANA, AR71854
Phone: 870-773-4353
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for DIERKSEN OF TEXARKANA ARKANSAS LLC

NPI Number 1104088632
Legal business name
LBN
DIERKSEN OF TEXARKANA ARKANSAS LLC
Authorized official JESSE MOORE - (CHIEF ADMINISTRATIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 06/26/2008
Last updated 01/29/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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