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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 />

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

& Personal Care Services<br />

License No.: AR4728 Cert. Card No.: 18638<br />

Derivative B License Type: NA<br />

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

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

County Located: Chicot<br />

Chicot County Health Unit<br />

608 Highway 65 & 82 South, Suite A<br />

Lake Village, AR 71653<br />

Phone No.: (870) 265-3986<br />

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

License No.: AR4407 Cert. Card No.: 18639<br />

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

Care & Personal Care Services<br />

License No.: AR4407(B) Cert. Card No.: 18897<br />

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

County Located: Chicot<br />

Chicot Memorial Medical Center Home Health Agency<br />

2729 South Highway 65 and 82<br />

Lake Village, AR 71653-6136<br />

Phone No.: (870) 265-5351<br />

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

License No.: AR4650 Cert. Card No.: 18640<br />

Derivative B License Type: NA<br />

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

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

County Located: Clark<br />

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

121 North 25th Street<br />

Arkadelphia, AR 71923<br />

Phone No.: (870) 246-8708<br />

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

License No.: AR4341 Cert. Card No.: 18641<br />

Derivative B License Type: NA<br />

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

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

County Located: Clark<br />

Baptist Health Home Health - Arkadelphia

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