Healthcare Provider Details

I. General information

NPI: 1720166929
Provider Name (Legal Business Name): AREA AGENCY ON AGING OF WEST CENTRAL ARKANSAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 05/17/2022
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 W GRAND AVE
HOT SPRINGS AR
71913-3438
US

IV. Provider business mailing address

905 W GRAND AVE
HOT SPRINGS AR
71913-3438
US

V. Phone/Fax

Practice location:
  • Phone: 501-321-2811
  • Fax:
Mailing address:
  • Phone: 501-321-2811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. BARBARA FLOWERS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 501-321-2811