VAN BUREN COUNTY AGING PROGRAM NPI 1275745044

NPI Information

VAN BUREN COUNTY AGING PROGRAM is a private vehicle in Clinton, AR. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. VAN BUREN COUNTY AGING PROGRAM NPI is 1275745044. The provider is registered as an organization entity type.

The provider's business location address is:

570 YELLOWJACKET LN
CLINTON, AR
ZIP 72031-769
Phone: (501) 745-2244
Fax: (501) 745-5204

The provider's authorized official is Jimmie Leon Kirkendoll .
The authorized official title is Director and has the following contact phone number (501) 745-2244.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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