1 Source Senior Care
Specialty details in registry · Fayetteville, AR
At a glance
1820 Shelby Ln Ste A, Fayetteville, AR 72704-5255
NPPES record updated Mar 26, 2024. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1820 Shelby Ln Ste AFayetteville, AR 72704-5255
Additional reported practice locations
4500 Rogers Ave Ste 3Fort Smith, AR 729033155
Phone: 4797099005
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 253Z00000X
- Enumeration date
- Feb 25, 2020
- Record updated
- Mar 26, 2024
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
171M00000X
Specialty details in registry
251B00000X
Specialty details in registry
253Z00000X · Primary
Specialty details in registry
385H00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1820 Shelby Ln Ste AFayetteville, AR 72704-5255
- Phone
- (479) 443-7173
- Fax
- (479) 443-0183
Mailing address
1820 SHELBY LN STE AFAYETTEVILLE, AR 727045255
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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