# MUNETON FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174489199
- **Authorized official:** MS. CARLA GRANTT (PROGRAM DIRECTOR)
- **Authorized official phone:** (646) 248-2080

## Contact information

- **Practice address:** 104 KINROSS DR, BELLA VISTA, AR 72715-4604
- **Practice address phone:** (646) 248-2080
- **Mailing address:** 555 WILLIS LN, PEA RIDGE, AR 72751-3235
- **Mailing address phone:** (646) 248-2080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | Yes |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |
| 344600000X | Taxi | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 01/03/2026
- **Last updated:** 01/03/2026