Concept Professional Services, LLC
Durable Medical Equipment & Medical Supplies in Fort Smith, AR. Organization (NPI-2).
NPI number1942438262
StatusActive
Last updated in NPPESJun 6, 2012
Details
- NPI
- 1942438262
- Entity type
- Organization (NPI-2)
- Legal business name
- Concept Professional Services, LLC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2009
- Last updated
- Jun 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
4609 S 16th StFort Smith, AR 72901-7915
Phone 479-434-6971 · Fax 479-434-6974
Mailing address
4609 S 16th StFort Smith, AR 72901-7915
Phone 479-434-6971 · Fax 479-434-6974
Authorized official
Dan Herman Cotta
Owner, Ceo
4794376971
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