MEDICARE: JUANITA'S CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1821989328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUANITA'S CARE

Provider Business Mailing Address
First Line	:	2545 DONAGHEY AVE APT 4505
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72032-2365
Country	:	US
Telephone Number	:	870-995-3320
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 OAK ST # L2
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72032-4318
Country	:	US
Telephone Number	:	870-995-3320
Fax Number	:	501-500-5772

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MELANIE DODD WESLEY
Credential	:	BSN RN
Telephone Number	:	870-995-3320

Provider Enumeration Date	:	07/12/2025
Last Update Date	:	07/12/2025

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Directions to “JUANITA'S CARE ” Practice Location

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