Organization
DOUGAN'S OAK PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY TEETER (ATTORNEY)
(501) 801-3814
Entity
Organization
Contact information
Practice address
507 MOUNTAIN VIEW RD, GLENWOOD, AR 71943-9147
(870) 356-4426
Mailing address
507 MOUNTAIN VIEW RD, GLENWOOD, AR 71943-9147
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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