OrganizationActive
1 Source Senior Care
NPI 1619501087 · In Home Supportive Care Agency · Fayetteville, AR
Provider details
- NPI number
- 1619501087
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Authorized official
- Cathy Robertson, Owner
Practice location
1820 Shelby Ln Ste a
Fayetteville, AR 72704-5255
Phone: (479) 443-7173
Fax: (479) 443-0183
Mailing address
1820 Shelby Ln Ste a
Fayetteville, AR 72704-5255
Registry dates
- Enumerated
- 2020-02-25
- Last updated
- 2024-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.