Provider Demographics
NPI:1821989328
Name:JUANITA'S CARE
Entity type:Organization
Organization Name:JUANITA'S CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DODD WESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN
Authorized Official - Phone:870-995-3320
Mailing Address - Street 1:2545 DONAGHEY AVE APT 4505
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-2365
Mailing Address - Country:US
Mailing Address - Phone:870-995-3320
Mailing Address - Fax:
Practice Address - Street 1:1100 OAK ST # L2
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-4318
Practice Address - Country:US
Practice Address - Phone:870-995-3320
Practice Address - Fax:501-500-5772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care