# THRIVE PEDIATRIC NURSING INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thrive At Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174030860
- **Authorized official:** MICHELLE M MANTUANO (PRESIDENT)
- **Authorized official phone:** (870) 247-6131

## Contact information

- **Practice address:** 7197 SHERIDAN RD STE 105, WHITE HALL, AR 71602-3261
- **Practice address phone:** (870) 247-6131
- **Mailing address:** 7197 SHERIDAN RD STE 105, WHITE HALL, AR 71602-3261
- **Mailing address phone:** (870) 247-6131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | AR5369 | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 01/04/2018
- **Last updated:** 08/21/2023