Organization
DIVINE MEDICAL OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA MICHELLE GOLDSBY R.N. (REGISTERED NURSE/CASEMGR.)
(501) 516-2322
Entity
Organization
Contact information
Practice address
5553 SPRINGVALE RD, NORTH LITTLE ROCK, AR 72116-3740
(501) 516-2322
(501) 771-9211
Mailing address
5553 SPRINGVALE RD, NORTH LITTLE ROCK, AR 72116-3740
(501) 516-2322
(501) 771-9211
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
R66896
AR
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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