Provider Demographics
NPI:1528563244
Name:VAUGHT CARE CENTER LLC
Entity Type:Organization
Organization Name:VAUGHT CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:EMILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN
Authorized Official - Phone:870-832-5848
Mailing Address - Street 1:206 W MAIN ST
Mailing Address - Street 2:PO BOX 308
Mailing Address - City:HORATIO
Mailing Address - State:AR
Mailing Address - Zip Code:71842-0308
Mailing Address - Country:US
Mailing Address - Phone:870-832-5848
Mailing Address - Fax:870-832-0206
Practice Address - Street 1:206 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HORATIO
Practice Address - State:AR
Practice Address - Zip Code:71842-0308
Practice Address - Country:US
Practice Address - Phone:870-832-5848
Practice Address - Fax:870-832-0206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service