Kreston Tyrell Gibbs
Kreston Tyrell Gibbs is an In Home Supportive Care Agency in Fordyce, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.
- Licensed in
- AR
- In the registry since
- 2022
Practice location Address checks out
1122 N Pine StFordyce, AR 71742-7009
Phone: (870) 807-3639
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X (AR) |
|---|
Record details
| NPI number | 1467177667 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 10, 2022 |
| Last updated in NPPES | April 24, 2023 |
| Certification date | April 24, 2023 |
| Mailing address | 1122 N Pine St, Fordyce, AR 71742-7009 |