Organization
GOOD SAMARITAN THERAPIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI LOVELACE SLP (OWNER)
(870) 931-5981
Entity
Organization
Contact information
Practice address
106 ROSE ST, JONESBORO, AR 72401-5959
(870) 268-8333
Mailing address
PO BOX 3744, STATE UNIVERSITY, AR 72467-3744
(870) 268-8333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5C607
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C607
BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/05/2007
Last updated
08/22/2020
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