Organization
OLIVE BRANCH RECOVERY-ARKANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MUMM (OWNER)
(940) 220-8899
Entity
Organization
Contact information
Practice address
6028 W STONEY BROOK RD STE 3, ROGERS, AR 72758-8180
(940) 220-8899
Mailing address
6028 W STONEY BROOK RD STE 3, ROGERS, AR 72758-8180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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