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Organization

FAMILY TIES ENTERTAINMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KNOA SMITH (CEO/ ADULT PROGRAM FACILITATOR)
(605) 354-4772
Entity
Organization

Contact information

Practice address
11 JOHNNY LN, SHERWOOD, AR 72120
(605) 354-4772
Mailing address
11 JOHNNY LN, SHERWOOD, AR 72120-9303

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/03/2025
Last updated
01/03/2025
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