Andrew Green MHPP

NPI 1497024392 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1497024392
Gender Male
Enumeration Date 12/21/2011
Last Updated 12/21/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
2135 MALCOLM AVE
NEWPORT AR, 72112-3631, US
Phone (870) 523-8004
Fax (870) 523-8081
Business Location
703 CALVIN AVERY DR
WEST MEMPHIS AR, 72301-6501, US
Phone (870) 732-1878
Fax (870) 702-7111
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mr. Andrew Green MHPP NPI is 1497024392, taxonomy code is 171M00000X Andrew Green MHPP physically located at 2135 Malcolm Ave, Newport AR, 72112-3631. NPI Number Andrew Green MHPP has the Individual type.

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1497024392 NPI number is provided on an as is basis without warranty of any kind. 1497024392 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew Green MHPP are for informational purposes only.