Healthcare Provider Details

I. General information

NPI: 1609995653
Provider Name (Legal Business Name): WATCH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N MAIN ST STE 1
SALEM AR
72576-9473
US

IV. Provider business mailing address

PO BOX 2130
DAPHNE AL
36526-2130
US

V. Phone/Fax

Practice location:
  • Phone: 870-895-2651
  • Fax: 870-895-5520
Mailing address:
  • Phone: 205-652-6167
  • Fax: 205-742-0028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberAR4255
License Number StateAR

VIII. Authorized Official

Name: MR. LEWIS CLARK BLAIR
Title or Position: CEO
Credential:
Phone: 205-652-6167