Organization
JOANN C HAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN C HAYS (OWNER)
(479) 967-6494
Entity
Organization
Contact information
Practice address
1704 W C PL, RUSSELLVILLE, AR 72801-2773
(479) 967-6494
(479) 967-6494
Mailing address
PO BOX 1193, RUSSELLVILLE, AR 72811-1193
(479) 967-6494
(479) 967-6494
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49523
BLUE
AR
Enumeration date
10/22/2006
Last updated
12/05/2007
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