Henry Wrinkles Foundation

NPI 1447518865 - Counselor - 101YP2500X

NPI Details
NPI 1447518865
Enumeration Date 04/24/2012
Last Updated 02/24/2016
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SUSAN SUSAN
Position EXECUTIVE DIRECTOR
Phone (870) 586-9229
Fax
Practice Location
6872 HIGHWAY 34 W
PARAGOULD AR, 72450-7644, US
Phone (870) 586-9229
Fax
Business Location
PO BOX 672
BEECH GROVE AR, 72412-0672, US
Phone (870) 586-9229
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Arkansas
License Number P0904022
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According to our database, Henry Wrinkles Foundation NPI is 1447518865, taxonomy code is 101YP2500X and license number is P0904022, license state is located at Arkansas. Henry Wrinkles Foundation physically located at 6872 Highway 34 W, Paragould AR, 72450-7644. NPI Number 1033115704 has the healthcare provider type.

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1447518865 NPI number is provided on an as is basis without warranty of any kind. 1447518865 is maintained by the National Plan & Provider Enumeration System. The contents of Henry Wrinkles Foundation are for informational purposes only.