Healthcare Provider Details

I. General information

NPI: 1588506786
Provider Name (Legal Business Name): MR & J HODGES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 INTERSTATE 55
MARION AR
72364-2106
US

IV. Provider business mailing address

2700 INTERSTATE 55
MARION AR
72364-2106
US

V. Phone/Fax

Practice location:
  • Phone: 870-771-9585
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: RHONDA HODGES
Title or Position: DIRECTOR
Credential: RN
Phone: 870-771-9585