Organization
ROBERT GLEN ENTERPRISES INC
Active
Other names
TLC HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON NIER (VP)
(870) 892-3037
Entity
Organization
Contact information
Practice address
103 COUNTRY CLUB RD, POCAHONTAS, AR 72455-1364
(870) 892-3037
(870) 892-9808
Mailing address
PO BOX 345, POCAHONTAS, AR 72455-0345
(870) 892-3037
(870) 892-9808
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MG00309
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135603716
—
AR
05
—
626098206
—
MO
Enumeration date
07/30/2006
Last updated
05/30/2012
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