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Organization
FORE FAMILY PRACTICE LLC
Active
Organization
FORE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMBER L FORE FNP (OWNER)
(870) 283-5550
Entity
Organization
Contact information
Practice address
307 N MAIN ST, CAVE CITY, AR 72521-9700
(870) 283-5550
Mailing address
307 N MAIN ST, CAVE CITY, AR 72521-9700
(870) 283-5550
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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