Healthcare Provider Details

I. General information

NPI: 1275869935
Provider Name (Legal Business Name): RSCB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2009
Last Update Date: 10/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 W HUDSON RD SUITE B
ROGERS AR
72756-2028
US

IV. Provider business mailing address

2600 W HUDSON RD SUITE B
ROGERS AR
72756-2028
US

V. Phone/Fax

Practice location:
  • Phone: 479-246-9000
  • Fax: 479-246-9001
Mailing address:
  • Phone: 479-246-9000
  • Fax: 479-246-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ROGER ALLEN BARNES
Title or Position: PRESIDENT
Credential:
Phone: 479-246-9000