Oscar Lee Reynolds MHPP

NPI 1154687333 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1154687333
Gender Male
Enumeration Date 04/02/2012
Last Updated 04/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
634 W MAIN ST
BLYTHEVILLE AR, 72315-3336, US
Phone (870) 780-6986
Fax (870) 780-6987
Business Location
634 W MAIN ST
BLYTHEVILLE AR, 72315-3336, US
Phone (870) 780-6986
Fax (870) 780-6987
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Oscar Lee Reynolds MHPP NPI is 1154687333, taxonomy code is 171M00000X Oscar Lee Reynolds MHPP physically located at 634 W Main St, Blytheville AR, 72315-3336. NPI Number Oscar Lee Reynolds MHPP has the Individual type.

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1154687333 NPI number is provided on an as is basis without warranty of any kind. 1154687333 is maintained by the National Plan & Provider Enumeration System. The contents of Oscar Lee Reynolds MHPP are for informational purposes only.