Elizabeth Omolo RECOVERY ASSISTANT

NPI 1275821043 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1275821043
Gender Female
Enumeration Date 07/14/2011
Last Updated 07/14/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
132 LOWER RIDGE RD
CONWAY AR, 72032-8518, US
Phone (501) 548-9905
Fax
Business Location
PO BOX 1589
BENTON AR, 72018-1589, US
Phone (501) 315-3344
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Elizabeth Omolo RECOVERY ASSISTANT NPI is 1275821043, taxonomy code is 171M00000X Elizabeth Omolo RECOVERY ASSISTANT physically located at 132 Lower Ridge Rd, Conway AR, 72032-8518. NPI Number Elizabeth Omolo RECOVERY ASSISTANT has the Individual type.

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1275821043 NPI number is provided on an as is basis without warranty of any kind. 1275821043 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Omolo RECOVERY ASSISTANT are for informational purposes only.