Organization
H4L RANCH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY STOUT (CHAIRMAN)
(870) 273-5376
Entity
Organization
Contact information
Practice address
644 COUNTY ROAD 912, BROOKLAND, AR 72417-8658
(870) 273-5376
Mailing address
644 COUNTY ROAD 912, BROOKLAND, AR 72417-8658
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
AR
305R00000X
Preferred Provider Organization
Primary
—
AR
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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