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NPI 1306336433

NPI 1306336433 : ARSERENE HOME HEALTH SERVICES LLP : LITTLE ROCK, AR

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General NPI Number Information
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    NPI Number           |    1306336433
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARSERENE HOME HEALTH SERVICES LLP 
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Dates
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    Enumeration Date     |    05/15/2018
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    Last Update Date     |    05/15/2018
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Provider Practice Location Address
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    Address Line         |    12910 MISTY CREEK DR 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72211-4060
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    Country              |    US
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    Telephone            |    501-554-4482
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12910 MISTY CREEK DR 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72211-4060
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    HUMAN RESOURCE DIRECTOR
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    Name                 |    MR. WENESH  OBOSO 
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    Credential           |    RN
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    Telephone            |    870-592-0803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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