Healthcare Provider Details

I. General information

NPI: 1174842744
Provider Name (Legal Business Name): STICKING WITH COMPASSION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2010
Last Update Date: 05/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 MORLEY DR
BELLA VISTA AR
72714-4102
US

IV. Provider business mailing address

19 MORLEY DR
BELLA VISTA AR
72714-4102
US

V. Phone/Fax

Practice location:
  • Phone: 479-295-8283
  • Fax: 888-821-7950
Mailing address:
  • Phone: 479-295-8283
  • Fax: 888-821-7950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number58476-2010
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number58476-2010
License Number StateAR

VIII. Authorized Official

Name: MS. BETHANY AARON HOWARD
Title or Position: OWNER/PHLEBOTOMIST
Credential:
Phone: 479-295-8283