Provider Demographics
NPI:1174842744
Name:STICKING WITH COMPASSION LLC
Entity Type:Organization
Organization Name:STICKING WITH COMPASSION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHLEBOTOMIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-295-8283
Mailing Address - Street 1:19 MORLEY DR
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72714-4102
Mailing Address - Country:US
Mailing Address - Phone:479-295-8283
Mailing Address - Fax:888-821-7950
Practice Address - Street 1:19 MORLEY DR
Practice Address - Street 2:
Practice Address - City:BELLA VISTA
Practice Address - State:AR
Practice Address - Zip Code:72714-4102
Practice Address - Country:US
Practice Address - Phone:479-295-8283
Practice Address - Fax:888-821-7950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR58476-2010251E00000X, 302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No302R00000XManaged Care OrganizationsHealth Maintenance Organization