Organization
ELIZA JAYNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY J FRIAS R.N. (CEO)
(501) 729-5490
Entity
Organization
Contact information
Practice address
300 VAN BUREN STREET, JUDSONIA, AR 72081
(501) 729-5490
Mailing address
PO BOX 187, 300 VAN BUREN, JUDSONIA, AR 72081-0187
(501) 729-5490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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