Provider Demographics
NPI:1467078725
Name:SEEK HIM ENTERPRISES LLC
Entity Type:Organization
Organization Name:SEEK HIM ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:VAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-725-2273
Mailing Address - Street 1:PO BOX 3
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72018-0003
Mailing Address - Country:US
Mailing Address - Phone:501-725-2273
Mailing Address - Fax:501-500-9377
Practice Address - Street 1:5552 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72019-9466
Practice Address - Country:US
Practice Address - Phone:501-725-2273
Practice Address - Fax:501-500-9377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR238834732Medicaid
AR238837797Medicaid
AR238836757Medicaid