National Provider Identifier Database

AREA AGENCY ON AGING OF WESTERN ARKANSAS INC
Hospice Care, Community Based


Contact Information

AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
1579 CLYDE HAWKINS DR
WALDRON, AR72958-8972
Phone: 479-637-4795
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC

NPI Number 1174580252
Legal business name
LBN
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Authorized official LISA RUSHING - (SUPERVISOR OF CORPORATE SERVICES)
Entity Organization
Organization subpart No
Enumeration date 05/01/2006
Last updated 10/02/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: 0173

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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