Angels On Your Side Home Care
Home Health in Forrest City, AR. Organization (NPI-2).
NPI number1356908214
StatusActive
Last updated in NPPESNov 3, 2021
Details
- NPI
- 1356908214
- Entity type
- Organization (NPI-2)
- Legal business name
- Angels On Your Side Home Care
- Organization subpart
- No
- Enumeration date
- May 24, 2019
- Certification date
- Nov 3, 2021
- Last updated
- Nov 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – |
Practice location
2022 E Broadway StForrest City, AR 72335-7881
Phone 870-455-3004
Mailing address
Po Box 462Forrest City, AR 72336-0462
Phone 870-455-3004
Authorized official
Taimeka Haggans
Ceo
8704553004
Is something wrong?
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