Provider Demographics
NPI:1528289725
Name:LITTLE RIVER MEMORIAL HOSPICE
Entity type:Organization
Organization Name:LITTLE RIVER MEMORIAL HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GARFIELD
Authorized Official - Last Name:DOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-898-5011
Mailing Address - Street 1:450 WEST LOCKE ST. SUITE B
Mailing Address - Street 2:
Mailing Address - City:ASHDOWN
Mailing Address - State:AR
Mailing Address - Zip Code:71822
Mailing Address - Country:US
Mailing Address - Phone:870-898-4120
Mailing Address - Fax:870-898-3219
Practice Address - Street 1:450 WEST LOCKE ST. SUITE B
Practice Address - Street 2:
Practice Address - City:ASHDOWN
Practice Address - State:AR
Practice Address - Zip Code:71822
Practice Address - Country:US
Practice Address - Phone:870-898-4120
Practice Address - Fax:870-898-3219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based