Provider Demographics
NPI:1215421706
Name:A & B HOSPICE SERVICES LLC
Entity type:Organization
Organization Name:A & B HOSPICE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCARDLE
Authorized Official - Suffix:
Authorized Official - Credentials:MOT
Authorized Official - Phone:479-263-7987
Mailing Address - Street 1:540 E APPLEBY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4114
Mailing Address - Country:US
Mailing Address - Phone:479-263-7987
Mailing Address - Fax:
Practice Address - Street 1:350 PINE ST STE 711
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-2401
Practice Address - Country:US
Practice Address - Phone:409-299-4477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based