Quincy Goree RECOVERY ASSISTANT

NPI 1043591407 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1043591407
Gender Male
Enumeration Date 08/30/2011
Last Updated 08/30/2011
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, Quincy Goree RECOVERY ASSISTANT NPI is 1043591407, taxonomy code is 171M00000X Quincy Goree RECOVERY ASSISTANT physically located at 132 Lower Ridge Rd, Conway AR, 72032-8518. NPI Number Quincy Goree RECOVERY ASSISTANT has the Individual type.

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1043591407 NPI number is provided on an as is basis without warranty of any kind. 1043591407 is maintained by the National Plan & Provider Enumeration System. The contents of Quincy Goree RECOVERY ASSISTANT are for informational purposes only.