Provider Demographics
NPI:1720166929
Name:AREA AGENCY ON AGING OF WEST CENTRAL ARKANSAS, INC.
Entity Type:Organization
Organization Name:AREA AGENCY ON AGING OF WEST CENTRAL ARKANSAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-321-2811
Mailing Address - Street 1:905 W GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-3438
Mailing Address - Country:US
Mailing Address - Phone:501-321-2811
Mailing Address - Fax:
Practice Address - Street 1:905 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-3438
Practice Address - Country:US
Practice Address - Phone:501-321-2811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR164268797Medicaid
AR120680757Medicaid
AR164060754Medicaid
AR164319796Medicaid
AR120681752Medicaid
AR102402732Medicaid