Organization
UPCHURCH HOLDINGS
Active
Other names
Life Therapeutic
Organization subpart
No
Provider details
NPI number
Authorized official
TRIANNA WYATT (DIRECTOR OF OPERATIONS)
(833) 892-5433
Entity
Organization
Contact information
Practice address
3514 COUNTRY CLUB AVE STE 2, FORT SMITH, AR 72903-3300
(479) 763-1085
(479) 755-3567
Mailing address
3514 COUNTRY CLUB AVE STE 2, FORT SMITH, AR 72903-3300
(479) 763-1085
(479) 755-3567
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OK
Other
Enumeration date
05/05/2016
Last updated
04/23/2024
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