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NPI Code Detail

MEDICARE: DAYSPRING SERVICES OF ARKANSAS LLC

MEDICARE: DAYSPRING SERVICES OF ARKANSAS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyAR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033232236
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAYSPRING SERVICES OF ARKANSAS LLC
Provider Business Mailing Address
First Line : 5537 BLEAUX AVE
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-0737
Country : US
Telephone Number : 479-872-5580
Fax Number : 479-872-5581
Provider Business Practice Location Address
First Line : 412 N WASHINGTON AVE
Second Line :
City : EL DORADO
State : AR
Zip : 71730-5616
Country : US
Telephone Number : 870-863-4611
Fax Number : 870-863-4962
Authorized Official
Title or Position : BILLING
Name : MRS. HELEN M BALDING
Credential :
Telephone Number : 479-872-5580
Provider Enumeration Date : 04/10/2007
Last Update Date : 04/05/2011

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Directions to “DAYSPRING SERVICES OF ARKANSAS LLC ” Practice Location

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