Hometown Healthcare Of Elkins Llc | |
4252 Crossover Fayettevillle AR 72703-2936 | |
(479) 310-8197 | |
Not Available |
Full Name | Hometown Healthcare Of Elkins Llc |
---|---|
Speciality | Clinic/center |
Location | 4252 Crossover, Fayettevillle, Arkansas |
Authorized Official Name and Position | Karen C Reynolds (OWNER/ OPERATOR) |
Authorized Official Contact | 4795305092 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hometown Healthcare Of Elkins Llc 847 Kensington Cv Springdale AR 72762-6286 Ph: (479) 530-5092 | Hometown Healthcare Of Elkins Llc 4252 Crossover Fayettevillle AR 72703-2936 Ph: (479) 310-8197 |
NPI Number | 1447698972 |
---|---|
Provider Enumeration Date | 06/06/2013 |
Last Update Date | 05/15/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447698972 | NPI | - | NPPES |
194826758 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 04D2045431 (Arkansas) | Primary |