Organization
ALL SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY HANEY (OFFICE MANAGER)
(870) 569-4920
Entity
Organization
Contact information
Practice address
2940 HARRISON ST, BATESVILLE, AR 72501-7513
(870) 569-4920
Mailing address
2940 HARRISON ST, BATESVILLE, AR 72501-7513
(870) 569-4920
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3708
AR
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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