DALLAS CO MED CTR HOME CARE

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

047169

Ownership Type:

Government - Local

Date Certified:

11-18-2002

Address:

110 CLIFTON, #3

City, State, Zip:

FORDYCE , AR 71742

County:

DALLAS

Country:

Phone:

8703526310

Fax:

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	Company Name	Address	City	State	Zip
1	DALLAS COUNTY HEALTH UNIT	209 NORTH CLIFTON	FORDYCE	AR	71742