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Organization
ROBERT GLEN ENTERPRISES INC
Active
Organization
ROBERT GLEN ENTERPRISES INC
Active
Other names
TLC HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON NIER (VP)
(870) 892-3037
Entity
Organization
Contact information
Practice address
103 COUNTRY CLUB RD, POCAHONTAS, AR 72455-1364
(870) 892-3037
(870) 892-9808
Mailing address
PO BOX 345, POCAHONTAS, AR 72455-0345
(870) 892-3037
(870) 892-9808
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MG00309
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135603716
—
AR
05
—
626098206
—
MO
Enumeration date
07/30/2006
Last updated
05/30/2012
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