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home health agencies provider list & license verification - Arkansas ...

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Last Update: 06/14/12<br />

HOME HEALTH AGENCIES<br />

PROVIDER LIST & LICENSE VERIFICATION<br />

702 Hornbeck<br />

Mena, AR 71953<br />

Phone No.: (479) 394-3433<br />

License Type: Class A Home Health Agency Providing Intermittent Skilled Care Services<br />

License No.: AR4015 Cert. Card No.: 18764<br />

Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />

Care & Personal Care Services<br />

License No.: AR4015(B) Cert. Card No.: 18859<br />

Expiration Date: 12/31/2012<br />

County Located: Polk<br />

Visiting Nurses Agency of Western <strong>Arkansas</strong>, Inc.<br />

600 Seventh Street<br />

Mena, AR 71953<br />

Phone No.: (479) 394-5458<br />

License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Extended<br />

Care Services<br />

License No.: AR4600 Cert. Card No.: 18765<br />

Derivative B License Type: Derivative B Home Health Agency Providing Intermittent Skilled<br />

Care, Extended Care & Personal Care Services<br />

License No.: AR4600(B) Cert. Card No.: 18913<br />

Expiration Date: 12/31/2012<br />

County Located: Polk<br />

West <strong>Arkansas</strong> HomeCare<br />

1201 South Mena Street<br />

Mena, AR 71953-4280<br />

Phone No.: (479) 394-1812<br />

License Type: Class A Home Health Agency Providing Intermittent Skilled Care & Personal<br />

Care Services<br />

License No.: AR4683 Cert. Card No.: 18766<br />

Derivative B License Type: NA<br />

License No.: NA Cert. Card No.: NA<br />

Expiration Date: 12/31/2012<br />

County Located: Pope<br />

Area Agency on Aging of West Central <strong>Arkansas</strong><br />

1310 West Main, Suite 100<br />

Russellville, AR 72801<br />

Phone No.: (501) 967-9300<br />

License Type: Class B Home Health Agency Providing Personal Care Services<br />

License No.: AR4173 Cert. Card No.: 18767<br />

Derivative B License Type: NA

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