Earnest Wyrick MHPP

NPI 1285942508 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1285942508
Gender Male
Enumeration Date 09/21/2010
Last Updated 09/21/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
701 ARKANSAS BLVD
TEXARKANA AR, 71854-2105, US
Phone (870) 772-5028
Fax (870) 772-5056
Business Location
3352 N FUTRALL DR
FAYETTEVILLE AR, 72703-4057, US
Phone (479) 521-5868
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Earnest Wyrick MHPP NPI is 1285942508, taxonomy code is 171M00000X Earnest Wyrick MHPP physically located at 701 Arkansas Blvd, Texarkana AR, 71854-2105. NPI Number Earnest Wyrick MHPP has the Individual type.

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1285942508 NPI number is provided on an as is basis without warranty of any kind. 1285942508 is maintained by the National Plan & Provider Enumeration System. The contents of Earnest Wyrick MHPP are for informational purposes only.